Active NPI
Sacred Heart Health System, Inc.
Doing business as Ascension Medical Group Sacred Heart Sub Specialists
- Primary Care Clinic/Center
- Pensacola, FL
National Provider Identifier
1205384336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SACRED HEART HEALTH SYSTEM, INC.
- Doing business as
- Ascension Medical Group Sacred Heart Sub Specialists
- Practice address
- 1549 Airport Blvd
200A
Pensacola, FL 32504-8633 - Phone
- (840) 416-4600
- NPI assigned
- Sep 19, 2016
- Last updated
- May 12, 2021
- Organization subpart
- Yes
- Parent organization
- SACRED HEART HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miranda Hemm
- Title
- Enrollment Manager
- Phone
- (904) 450-6004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | FL | Primary |
Addresses
Primary practice location
1549 Airport Blvd
200A
Pensacola, FL 32504-8633
Mailing address
1549 Airport Blvd
Pensacola, FL 32504-8633
Phone (850) 416-1200
Other names 1
- Ascension Medical Group Sacred Heart Sub Specialists
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0973794 | Ascension Medical Group | Certificate of waiver | Dec 6, 2027 |
National Provider Directory
National Provider Directory- Part of
- Univ OB GYN Prog at SH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620777600000",
"number": "1205384336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 AIRPORT BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048633",
"telephone_number": "850-416-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 AIRPORT BLVD",
"address_2": "200A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048633",
"telephone_number": "840-416-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED HEART HEALTH SYSTEM, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SACRED HEART HEALTH SYSTEM",
"enumeration_date": "2016-09-19",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A",
"authorized_official_last_name": "HEMM",
"authorized_official_first_name": "MIRANDA",
"authorized_official_title_or_position": "ENROLLMENT MANAGER",
"authorized_official_telephone_number": "904-450-6004"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ascension Medical Group Sacred Heart Sub Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pensacola, FL
- Sacred Heart Health System, Inc. (Ascension Medical Group Sacred Heart)
- Sacred Heart Health System, Inc.
- Sacred Heart Health System, Inc. (Ascension Medical Group Sacred Heart)
- Sacred Heart Health System, Inc. (Ascension Sacred Heart Pensacola)
- Sacred Heart Health System, Inc. (Ascension Medical Group Sacred Heart)
- Sacred Heart Health System, Inc. (Sacred Heart Medical Group #04)
- Sacred Heart Health System, Inc. (Ascension Medical Group Sacred Heart)
- Sacred Heart Health System, Inc.
- Sacred Heart Health System, Inc. (Sacred Heart Medical Group #06)
- Sacred Heart Health System, Inc. (Ascension Rx 1407)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.