Healthcare Provider Details

I. General information

NPI: 1558802181
Provider Name (Legal Business Name): SB HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 SCHOOL RD
JACOBUS PA
17407-1365
US

IV. Provider business mailing address

755 SCHOOL RD
JACOBUS PA
17407-1365
US

V. Phone/Fax

Practice location:
  • Phone: 717-424-4478
  • Fax:
Mailing address:
  • Phone: 717-424-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. PAULA MICHELLE HOSTLER
Title or Position: OWNER
Credential: CPM
Phone: 717-424-4478