# CRESTVIEW HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRESTVIEW HOSPITAL COMPANY LLC
- **Other names:** Crestview Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063326965
- **Legal business name:** CRESTVIEW HOSPITAL COMPANY LLC
- **Authorized official:** PAULA LALOR (SR DIRECTOR)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 400 REDSTONE AVE W, CRESTVIEW, FL 32536-8467
- **Practice address phone:** (850) 689-8100
- **Practice address fax:** (850) 689-8488
- **Mailing address:** 151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
- **Mailing address phone:** (850) 689-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2026
- **Last updated:** 10/02/2026
