Organization
SACRED HEART HOSPITAL ON THE EMERALD COAST
Active
Other names
Sacred Heart Medical Group at Crestview
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN FOLEY (HPE SPECIALIST)
(850) 475-4620
Entity
Organization
Contact information
Practice address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 475-4500
(850) 475-4781
Mailing address
PO BOX 2699, HEALTHPLAN ENROLLMENT, PENSACOLA, FL 32513-2699
(850) 475-4620
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK9324
RAILROAD GROUP PTAN
FL
Enumeration date
05/26/2006
Last updated
09/09/2013
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