Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery |
| NPI Number | 1508093147 |
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| LBN Legal business name | SACRED HEART HEALTH SERVICES | ||||
| Authorized official | VICTORIA HANSON - (REGIONAL PRESIDENT/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 06/22/2009 | ||||
| Last updated | 12/31/2025 - About 5 months ago | ||||
| Identifiers |
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