Organization
SACRED HEART ANCILLARY SERVICES, INC
Active
Other names
Sacred Heart Medical Equipment Service
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE H GOMBERT (VICE PRESIDENT OF FINANCE)
(610) 776-4900
Entity
Organization
Contact information
Practice address
2125 28TH ST SW, SUITE 400, ALLENTOWN, PA 18103-7380
(610) 782-9101
(610) 782-0967
Mailing address
2125 28TH ST SW, SUITE 400, ALLENTOWN, PA 18103-7380
(610) 782-9101
(610) 782-0967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
3000007257
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007286750004
—
PA
Enumeration date
07/11/2006
Last updated
03/24/2008
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