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
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_360
Location Details
Address
13137 Sorrento Road Suite C
Pensacola, FL 32507
United States
County
Escambia
Phone
8504304250 (Phone)
Billing Details
Address
P.O. Box 2766
Pensacola, FL 32513
Billing Phone
8504754675
Specialty Type
Physical Therapy
Map
Address