Sunrise Medical Group, Pc

LBN: Sunrise Medical Group, Pc
Sunrise Medical Group, Pc is an health care organization with primary practice located at 552 Highway 54 , Santa Rosa NM 88435-2215. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Sunrise Medical Group, Pc can be contacted via phone (505) 433-5572, or through Sanchez, Jessica via phone (575) 472-4311.

Contact Information

Primary practice address
552 Highway 54 Santa Rosa NM 88435-2215
Phone: (505) 433-5572
Fax: (877) 651-1259
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, Jessica DIRECTOR
Phone: (575) 472-4311

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 6794 New Mexico

Profile Details

NPI number 1124107446
LBN Legal business name Sunrise Medical Group, Pc
DBA Doing business as
Authorized official Sanchez, Jessica DIRECTOR
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Oct 11th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124107446 NPPES
Other 600521016 MEDICARE GROUP ID
MEDICAID 00074686 MEDICARE GROUP ID
Other 1124107446 MEDICARE GROUP ID
Other 6794 MEDICARE GROUP ID

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