Organization
BAY COUNTY HEALTH SYSTEM, LLC
Active
Parent organization
BAY COUNTY HEALTH SYSTEM, LLC
Other names
Ascension Sacred Heart Bay
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY COUNTY HEALTH SYSTEM, LLC
Authorized official
STEPHAN FRANK QUIRICONI (CFO)
(904) 308-1258
Entity
Organization
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 747-1511
(850) 747-6842
Mailing address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 747-6045
(850) 763-8827
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3982
FL
341600000X
Ambulance
2896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010006400
—
FL
05
—
033526600
—
FL
05
—
056445100
—
FL
05
—
088052300
—
FL
01
—
162945400
US DEPT OF LABOR
FL
01
—
419
BLUE CROSS PROVIDER NUMBE
FL
01
—
596001478
TRICARE
FL
Enumeration date
10/27/2005
Last updated
03/08/2021
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