Sunrise Clinics

LBN: Sunrise Clinics
Sunrise Clinics is an health care organization with primary practice located at 117 Camino De Vida Ste 300 , Santa Rosa NM 88435-2267. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Sunrise Clinics can be contacted via phone (575) 472-4311, or through Brown, Randal W via phone (575) 472-4311.

Contact Information

Primary practice address
117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267
Phone: (575) 472-4311
Fax: (877) 651-0289
Website:
Map and Directions
Authorized official contact:
Name: Brown, Randal W Doctor of Medicine (MD)
Phone: (575) 472-4311

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1164055927
LBN Legal business name Sunrise Clinics
DBA Doing business as
Authorized official Brown, Randal W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2020
Last updated Aug 10th, 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 1164055927 NPPES
New Mexico MEDICAID 93778562

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