Provider Demographics
NPI:1114431616
Name:NEW HEIGHTS INTEGRATED HEALTH SC
Entity Type:Organization
Organization Name:NEW HEIGHTS INTEGRATED HEALTH SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SABATINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-570-9173
Mailing Address - Street 1:124 REGENCY PARK STE 7
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-1994
Mailing Address - Country:US
Mailing Address - Phone:618-622-3322
Mailing Address - Fax:618-622-2229
Practice Address - Street 1:124 REGENCY PARK STE 7
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-1994
Practice Address - Country:US
Practice Address - Phone:618-622-3322
Practice Address - Fax:618-622-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty