Sacred Health Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SACRED HEALTH INCORPORATED

Doing business as

Sacred Health

Practice address

3416 Virginia Ave Ste 3
Collinsville, VA 24078-2240

Phone

(276) 403-0258

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Bernard Gause

Title

Ceo

Phone

(704) 604-2090

Specialties & licenses 1

Addresses

Other names 1

• Sacred Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1538823737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 MATCHSTICK PL SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254706",
            "telephone_number": "704-604-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 VIRGINIA AVE STE 3",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240782240",
            "telephone_number": "276-403-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GAUSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-604-2090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Collinsville, VA
• Providers in Collinsville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.