Contract Details
Sacred Heart Health System, Inc.
Facility name
Sacred Heart Occupational Health and Rehab
Provider ID
P000009059
NPI
1770533077
Tax ID
900036573
Effective Date
1/10/2018
Last Updated
3/12/2020
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_360
Location Details
Address
2156 West Nine Mile Road Suite D
Pensacola, FL 32534
United States
County
Escambia
Phone
8504304259 (Phone)
Billing Details
Address
2156 West Nine Mile Road
Suite 2 & 3
Pensacola, FL 32534
Billing Phone
8504754675
Specialty Type
Physical Therapy
Map
Address