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CH090030 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 - Casa Grande Family Practice, Dental & Orthodontics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002312
340B ID
CH090030
Grant Number
H80CS00466
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
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
865 N Arizola Rd
Casa Grande, AZ 85122-6011
Billing Address
SUN LIFE FAMILY HEALTH CENTER, INC.
PO 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 CASA GRANDE SATELLITE) AND ZIP CODE (WAS 85222), ADDED BILL TO
09/08/2010
May 2025
May 2025
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