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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