NPIMap

Organization Active NPI

Okaloosa Hospital Inc

Doing business as HCA Florida Twin Cities Hospital

  • General Acute Care Hospital
  • Niceville, FL
National Provider Identifier
1891732988
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
OKALOOSA HOSPITAL INC
Doing business as
HCA Florida Twin Cities Hospital
Practice address
2190 Highway 85 N
Niceville, FL 32578-1045
Phone
(850) 678-4131
Fax
(850) 729-9306
NPI assigned
May 31, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Mark Day
Title
Cfo
Phone
(850) 729-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

2190 Highway 85 N
Niceville, FL 32578-1045

Mailing address

2190 Highway 85 N
Niceville, FL 32578-1045
Phone (850) 678-4131

Other identifiers 10

IdentifierTypeStateIssuer
02212833MedicaidNY
216064OtherFLAVMED
288OtherFLBLUE CROSS
000349808XMedicaidGA
10125700MedicaidFL
508490MedicaidMO
112638OtherFLAMERIGROUP
200248350AMedicaidIN
TWI0054NMedicaidAL
071778701MedicaidTX

Other names 1

  • HCA Florida Twin Cities Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address TWINCITIES.COCTW.HCAPAN@CCDA.HCADIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040207000454 FL Part A Provider - Hospital 1951294313 Practice locations: Defuniak Springs, FL; Niceville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891732988. Details of each certification follow.

Hospital certification: CCN 100054

Legal name
OKALOOSA HOSPITAL INC
Doing business as
HCA FLORIDA TWIN CITIES HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 11, 1978
Last certification
Jul 28, 2012
Beds
65
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 1993 (1 total)
Organization structure
CorporationProprietary
Incorporated
Jul 26, 1978 in FL
Enrollment address
2190 Highway 85 N
Niceville, FL 32578-1045
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
HCA Florida Twin Cities HospitalCCN 100054 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Okaloosa Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

550 Twin Cities Blvd
Ste B
Niceville, FL 32578
Phone (850) 678-2004

552 Twin Cities Blvd
Ste B
Niceville, FL 32578
Phone (850) 729-8000

Interoperability endpoints

  • Direct secure messaging: twincities.coctw.hcapan@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 38

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
John M Franck Individual Corporate Officer May 31, 2007
Corporate Director May 31, 2007
Douglas L Downey Individual Corporate Officer Apr 18, 2016
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 26, 2011 100%
Henry Todd Maxwell Individual Corporate Officer Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE Holding company, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Officer Apr 18, 2016
Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Todd Jackson Individual Corporate Officer Dec 31, 2021
W-2 Managing Employee Dec 31, 2021
Mark Day Individual W-2 Managing EmployeeCfo May 31, 2007
Shirley E Scharf-Cheatham Individual Corporate Officer Aug 26, 2011
Richard Hammett Individual Corporate Officer Jun 1, 2020
John M Hackett Individual Corporate Officer Apr 18, 2016
Brian T Cook Individual Corporate Officer Jan 1, 2023
Hercules Holding II Organization, Nashville, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2006 14.4%
Samuel N Hazen Individual Corporate Officer Aug 26, 2011
Corporate Director Aug 26, 2011
Ronald Lee Grubbs Individual Corporate Officer Aug 26, 2011
Monica Cintado Individual Corporate Officer Oct 7, 2019
Gary S Whitmore Individual Corporate Officer Jan 1, 2023
Jon Foster Individual Corporate Officer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
Hospital Corp LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 31, 2007 100%
Seth a Killingbeck Individual Corporate Officer Apr 18, 2016
Ricardo Pavon Individual Corporate Officer Apr 18, 2016
Timothy Scott Noonan Individual Corporate Officer Apr 18, 2016
Natalie H Cline Individual Corporate Officer Apr 18, 2016
Michael T Bray Individual Corporate Officer Aug 26, 2011
Matthew R Favicchio Individual Corporate Officer Sep 5, 2025
Peter J Rossell Individual Corporate Officer Jan 1, 2023
Michael a Marks Individual Corporate Officer Sep 5, 2025
Edwin W Robinson Individual Corporate Officer Sep 5, 2025
Brad Ej Spicer Individual Corporate Officer Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 18, 2016
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Officer Aug 26, 2011

Facilities with the same owner 144

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 144

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

Affiliated clinicians 324

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 324

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1891732988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 HIGHWAY 85 N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781045",
            "telephone_number": "850-678-4131",
            "fax_number": "850-729-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 HIGHWAY 85 N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781045",
            "telephone_number": "850-678-4131",
            "fax_number": "850-729-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKALOOSA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-729-9300"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02212833",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "216064",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "288",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000349808X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10125700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508490",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "112638",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248350A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TWI0054N",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071778701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TWINCITIES.COCTW.HCAPAN@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2190 Highway 85 N",
            "city": "Niceville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325781045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Florida Twin Cities Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.