Provider Demographics
NPI:1669890547
Name:SENTREHEART
Entity type:Organization
Organization Name:SENTREHEART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KADIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-241-6025
Mailing Address - Street 1:300 SAGINAW DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-4743
Mailing Address - Country:US
Mailing Address - Phone:650-241-6025
Mailing Address - Fax:650-354-1204
Practice Address - Street 1:300 SAGINAW DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-4743
Practice Address - Country:US
Practice Address - Phone:650-241-6025
Practice Address - Fax:650-354-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment