Sunrise Clinics - Santa Rosa High Sbhc

LBN: Sunrise Clinics
Sunrise Clinics - Santa Rosa High Sbhc is an health care organization with primary practice located at 717 S 3Rd St , Santa Rosa NM 88435-2411. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Sunrise Clinics can be contacted via phone (575) 472-7747, or through Sanchez, Jessica via phone (575) 472-4311.

Contact Information

Primary practice address
717 S 3Rd St Santa Rosa NM 88435-2411
Phone: (575) 472-7747
Fax: (877) 651-0289
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, Jessica
Phone: (575) 472-4311

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1013629526
LBN Legal business name Sunrise Clinics
DBA Doing business as Sunrise Clinics - Santa Rosa High Sbhc
Authorized official Sanchez, Jessica
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2022
Last updated Aug 24th, 2023 - about 3 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 1013629526 NPPES
New Mexico MEDICAID 93778562

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