Organization
SACRED HEART HEALTH SYSTEM, INC.
Active
Organization
SACRED HEART HEALTH SYSTEM, INC.
Active
Other names
Sacred Heart Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSTANCE HETTERICH R.N. (ADMINISTRATOR)
(850) 470-9288
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE 143, MOBILE, AL 36608-6705
(850) 470-9288
(850) 470-9130
Mailing address
6701 AIRPORT BLVD, SUITE 143, MOBILE, AL 36608-6705
(850) 470-9288
(850) 470-9130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2006-004168
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02078367
—
MS
01
—
51503539
BCBS AL - DME
FL
01
—
8200162
UNITED HEALTH CARE
FL
Enumeration date
01/19/2007
Last updated
08/22/2020
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