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CH09003A SUN LIFE FAMILY HEALTH CENTER, INC. (Active)
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Main Details
Name
SUN LIFE FAMILY HEALTH CENTER, INC.
Subdivision Name
Sun Life Health - Maricopa Center for Women
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000636
340B ID
CH09003A
Grant Number
H80CS00466
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
6/22/2004
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Sun Life Family Health Center
Eddie Estrada, Chief Executive Officer
(520) 836-3446
Primary Contact
Sun Life Family Health Center, INC
Matthew Bertsch, Director of Pharmacy
(520) 381-0363
Addresses
Street Address
44765 W. HATHAWAY AVE
MARICOPA, AZ 85139-9998
Billing Address
SUN LIFE FAMILY HEALTH CENTER, INC.
P O BOX 10097
CASA GRANDE, AZ 85130
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/8/10 UPDATED SUBDIV NAME (WAS MARICOPA OFFICE), ZIP (WAS 85239), BILLING ZIP (WAS 85230-0097
09/08/2010
April 2025
April 2025
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