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CH09003G 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 - Oracle Family Practice
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024787
340B ID
CH09003G
Grant Number
H80CS00466
Additional Details
Current Program Status
Active
Registration Date
4/23/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/9/2010
Last Recertification Date
2/27/2025
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
1040 W American Ave
Oracle, AZ 85623
Billing Address
SUN LIFE FAMILY HEALTH CENTER, INC.
1040 W American Ave
Oracle, AZ 85623
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/12/10 DELETED SHIP TO (WAS 23 MCNAB PARKWAY, SAN MANUEL, 85631)
09/12/2010
June 2025
June 2025
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