Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1730790551 |
| LBN Legal business name | SACRED HEART HEALTH SYSTEM, INC. |
| Authorized official | JEAN VALLIER - (DIRECTOR ENROLLMENT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 08/14/2020 |
| Last updated | 05/12/2021 - About 5 years ago |
| Identifiers | n/a |
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