<Unavail>
LBN: Sun River Health Inc
<Unavail> is an health care organization with primary practice located at 550 Montauk Hwy , Shirley NY 11967-2114. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Sun River Health Inc can be contacted via phone (631) 490-3040, or through Lipton, Adam via phone (914) 384-2375.
Contact Information
Primary practice address
550 Montauk Hwy
Shirley NY 11967-2114
Phone: (631) 490-3040
Fax: (631) 490-3055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 5901200R | New York |
Profile Details
| NPI number | 1417352709 |
|---|---|
| LBN Legal business name | Sun River Health Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Lipton, Adam |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 29th, 2014 |
| Last updated | Mar 13th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417352709 | NPPES |
| New York | MEDICAID | 00473038 |
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