Provider Demographics
NPI:1992548689
Name:SUNSET SLEEP AND WELLNESS CENTER
Entity type:Organization
Organization Name:SUNSET SLEEP AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:MINTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-732-6277
Mailing Address - Street 1:29 SPRING RUN DR
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1925
Mailing Address - Country:US
Mailing Address - Phone:251-732-6277
Mailing Address - Fax:
Practice Address - Street 1:29 SPRING RUN DR
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1925
Practice Address - Country:US
Practice Address - Phone:251-732-6277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies