Provider Demographics
NPI:1922840057
Name:SITO HEALTH INCORPORATED
Entity type:Organization
Organization Name:SITO HEALTH INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PALAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-384-2515
Mailing Address - Street 1:1930 BISHOP LN STE 130
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-1962
Mailing Address - Country:US
Mailing Address - Phone:502-384-2515
Mailing Address - Fax:502-384-5622
Practice Address - Street 1:1930 BISHOP LN STE 130
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-1962
Practice Address - Country:US
Practice Address - Phone:502-384-2515
Practice Address - Fax:502-384-5622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health