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Organization

ASCENSION SACRED HEART EMERALD COAST

Active
Other names
Ascension Sacred Heart Emerald Coast
Organization subpart
No

Provider details

NPI number
Authorized official
MS. COBA SUSAN CORNEJO (COO)
(850) 416-6206
Entity
Organization

Contact information

Practice address
7800 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-7228
(850) 278-3001
(850) 278-3010
Mailing address
7928 SOLUTION CTR, LOCKBOX 777928, CHICAGO, IL 60677-7009
(850) 278-3199
(850) 416-7453

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010074
BCBS-AL INSTITUTIONAL
AL
05
010323300
FL
01
358425300
USDOL WORKERS COMP
FL
01
592
BCBS-FL INSTITUTIONAL
FL
Enumeration date
07/04/2006
Last updated
03/03/2021
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