Provider Demographics
NPI:1144465063
Name:S B HEALTH CARE ACQUISITION INC
Entity type:Organization
Organization Name:S B HEALTH CARE ACQUISITION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:BLUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-892-4501
Mailing Address - Street 1:240 E HIGHWAY 246
Mailing Address - Street 2:STE 100
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9645
Mailing Address - Country:US
Mailing Address - Phone:805-693-8321
Mailing Address - Fax:805-693-8350
Practice Address - Street 1:240 E HIGHWAY 246
Practice Address - Street 2:STE 100
Practice Address - City:BUELLTON
Practice Address - State:CA
Practice Address - Zip Code:93427-9645
Practice Address - Country:US
Practice Address - Phone:805-693-8321
Practice Address - Fax:805-693-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1144465063Medicare NSC