# SACRED HEART HOSPITAL ON THE EMERALD COAST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sacred Heart Medical Group at Crestview
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326094848
- **Authorized official:** MRS. JAN FOLEY (HPE SPECIALIST)
- **Authorized official phone:** (850) 475-4620

## Contact information

- **Practice address:** 4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
- **Practice address phone:** (850) 475-4500
- **Practice address fax:** (850) 475-4781
- **Mailing address:** PO BOX 2699, HEALTHPLAN ENROLLMENT, PENSACOLA, FL 32513-2699
- **Mailing address phone:** (850) 475-4620
- **Mailing address fax:** (850) 475-4619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 09/09/2013