Organization
ASCENSION SACRED HEART GULF
Active
Other names
Ascension Sacred Heart Gulf
Organization subpart
No
Provider details
NPI number
Authorized official
COBA SUSAN CORNEJO (COO)
(850) 416-6206
Entity
Organization
Contact information
Practice address
3801 E HIGHWAY 98, PORT ST JOE, FL 32456-5318
(850) 229-5600
(850) 416-7453
Mailing address
7928 SOLUTION CTR, LOCKBOX 777928, CHICAGO, IL 60677-7009
(850) 416-7190
(850) 416-7453
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
FL
282NR1301X
Rural Acute Care Hospital
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002012700
—
FL
01
—
159
BLUE CROSS OF FL
FL
Enumeration date
11/03/2009
Last updated
03/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us