Organization
ASCENSION SACRED HEART GULF
Active
Parent organization
SACRED HEART HEALTH SYSTEM
Other names
Ascension Medical Group Sacred Heart Gulf
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED HEART HEALTH SYSTEM
Authorized official
MIRANDA HEMM (ENROLLMENT MANAGER)
(904) 450-6004
Entity
Organization
Contact information
Practice address
3871 E HIGHWAY 98 STE 201, PORT ST JOE, FL 32456-5302
(850) 229-3710
(850) 229-3712
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 229-3710
(850) 229-3712
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/19/2021
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