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Organization
CRESTVIEW HOSPITAL COMPANY, LLC
Active
Organization
CRESTVIEW HOSPITAL COMPANY, LLC
Active
Other names
NORTH OKALOOSA MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR)
(629) 215-3953
Entity
Organization
Contact information
Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(850) 689-8100
Mailing address
PO BOX 198002, ATLANTA, GA 30384-8002
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010126500
—
FL
01
—
426
BCBS
—
05
—
HOS0122P
—
AL
Enumeration date
01/31/2006
Last updated
03/22/2023
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