| Sacred Health Incorporated | |
|
3416 Virginia Ave Ste 3 Collinsville VA 24078-2240 | |
| (276) 403-0258 | |
| Not Available |
| Full Name | Sacred Health Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3416 Virginia Ave Ste 3, Collinsville, Virginia |
| Authorized Official Name and Position | William Bernard Gause (CEO) |
| Authorized Official Contact | 7046042090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Health Incorporated 1071 Matchstick Pl Sw Concord NC 28025-4706 Ph: (704) 604-2090 | Sacred Health Incorporated 3416 Virginia Ave Ste 3 Collinsville VA 24078-2240 Ph: (276) 403-0258 |
| NPI Number | 1538823737 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538823737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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