NPIMap

Organization Active NPI

Sacred Heart Hospital on the Emerald Coast

Doing business as Sacred Heart Medical Group at Crestview

  • Multi-Specialty Clinic/Center
  • Pensacola, FL
National Provider Identifier
1326094848
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SACRED HEART HOSPITAL ON THE EMERALD COAST
Doing business as
Sacred Heart Medical Group at Crestview
Practice address
4451 Bayou Blvd
Pensacola, FL 32503-2601
Phone
(850) 475-4500
Fax
(850) 475-4781
NPI assigned
May 26, 2006
Last updated
Sep 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jan Foley
Title
Hpe Specialist
Phone
(850) 475-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

4451 Bayou Blvd
Pensacola, FL 32503-2601

Mailing address

PO Box 2699
Healthplan Enrollment
Pensacola, FL 32513-2699
Phone (850) 475-4620

Other identifiers 1

IdentifierTypeStateIssuer
CK9324OtherFLRAILROAD GROUP PTAN

Other names 1

  • Sacred Heart Medical Group at Crestview Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1326094848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "address_2": "HEALTHPLAN ENROLLMENT",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4620",
            "fax_number": "850-475-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-475-4500",
            "fax_number": "850-475-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOSPITAL ON THE EMERALD COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "HPE SPECIALIST",
        "authorized_official_telephone_number": "850-475-4620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP PTAN",
            "identifier": "CK9324",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Medical Group at Crestview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.