Healthcare Provider Details

I. General information

NPI: 1922108331
Provider Name (Legal Business Name): SACRED HEART HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SUMMIT ST
YANKTON SD
57078-3855
US

IV. Provider business mailing address

501 SUMMIT ST
YANKTON SD
57078-3855
US

V. Phone/Fax

Practice location:
  • Phone: 605-668-8103
  • Fax: 605-668-8097
Mailing address:
  • Phone: 605-668-8103
  • Fax: 605-668-8097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: TIM L SCHWASINGER
Title or Position: DIRECTOR, PATIENT ACCOUNTS
Credential:
Phone: 605-668-8103