# ASCENSION SACRED HEART GULF

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SACRED HEART HEALTH SYSTEM, INC.
- **Other names:** Ascension Medical Group Sacred Heart Gulf
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912495375
- **Legal business name:** SACRED HEART HEALTH SYSTEM, INC.
- **Authorized official:** MIRANDA HEMM (ENROLLMENT MANAGER)
- **Authorized official phone:** (904) 450-6004

## Contact information

- **Practice address:** 3871 E HIGHWAY 98 STE 203, PORT ST JOE, FL 32456-5302
- **Practice address phone:** (850) 229-5661
- **Practice address fax:** (850) 229-5662
- **Mailing address:** PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
- **Mailing address phone:** (850) 229-5661
- **Mailing address fax:** (850) 229-5662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2018
- **Last updated:** 03/19/2021