NPIMap

Organization Active NPI

Sacred Heart Health System, Inc.

Doing business as Ascension Medical Group Sacred Heart

  • Ambulatory Family Planning Facility
  • Pensacola, FL
National Provider Identifier
1962453308
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
SACRED HEART HEALTH SYSTEM, INC.
Doing business as
Ascension Medical Group Sacred Heart
University OB/GYN Program at Sacred Heart
Practice address
5225 Carmel Heights Dr
Pensacola, FL 32504-8715
Phone
(850) 475-4500
Fax
(850) 475-4781
NPI assigned
May 12, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

5225 Carmel Heights Dr
Pensacola, FL 32504-8715

Mailing address

PO Box 18987
Belfast, ME 04915-4084
Phone (850) 475-4620

Other names 2

  • Ascension Medical Group Sacred Heart Doing business as
  • University OB/GYN Program at Sacred Heart Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031125000699 FL Part B Supplier - Clinic/Group Practice 3779491386 Receives reassigned benefits from 67 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pensacola, FL
O20051015000049 FL Part B Supplier - Clinic/Group Practice 3779491386 Receives reassigned benefits from 487 practitioners
5 other NPIs on this enrollment

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart Emerg Phys99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780

411 N Section St
Ste B
Fairhope, AL 36532
Phone (251) 660-3470

550 Redstone Ave W
Ste 450
Crestview, FL 32536
Phone (850) 689-2223

120 N Richard Jackson Blvd
Ste 1
Panama City Beach, FL 32407

12111 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 236-7497

13137 Sorrento Rd
Pensacola, FL 32507
Phone (850) 416-0020

5045 Carpenter Creek Dr
Ste A
Pensacola, FL 32503
Phone (850) 377-0913

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Sacred Heart Emerald CoastMiramar Beach, FL, CCN 100292 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 12, 2013
Ascension Sacred Heart PensacolaPensacola, FL, CCN 100025 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2002
Jul 1, 2002
Ascension Sacred Heart GulfPort St Joe, FL, CCN 10U313 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Mar 15, 2010
Mar 15, 2010
Ascension Sacred Heart BayPanama City, FL, CCN 100026 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 28, 2020
Jul 28, 2020
Ascension Sacred Heart GulfPort Saint Joe, FL, CCN 100313 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 15, 2010
Ascension Sacred Heart GulfApalachicola, FL, CCN 103452 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012
Ascension Medical Group Sacred Heart GulfWewahitchka, FL, CCN 108500 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012
Ascension Medical Group Sacred Heart GulfPort St Joe, FL, CCN 103461 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012
Ascension Medical Group Sacred Heart GulfPort St Joe, FL, CCN 103460 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 717

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 717

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1962453308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18987",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "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": "5225 CARMEL HEIGHTS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048715",
            "telephone_number": "850-475-4500",
            "fax_number": "850-475-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "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": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group Sacred Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University OB/GYN Program at Sacred Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University OB/GYN Program at Sacred Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.