Organization
BAY COUNTY HEALTH SYSTEM LLC
Active
Parent organization
BAY COUNTY HEALTH SYSTEM LLC
Other names
Bay Medical ER Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY COUNTY HEALTH SYSTEM LLC
Authorized official
STEVE GRUBBS (CEO)
(850) 747-6909
Entity
Organization
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(888) 313-5258
(205) 313-5245
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0895
(888) 313-5258
(205) 313-5245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056445100
—
FL
01
—
371451176
TRICARE GROUP#
FL
01
—
98513
BCBS GRP #
FL
Enumeration date
05/12/2006
Last updated
11/18/2016
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