| Organization Name: | SUNSET COMMUNITY HEALTH CENTER |
| NPI Number: | 1043324932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID ROGERS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 815 E Juan Sanchez Blvd San Luis |
| State: | AZ US |
| Postal Code: | 85349 |
| Phone Number: | 9286273822 |
| Fax Number: | 9285395579 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OTC0558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |