Active NPI
AIDS Healthcare Foundation
- Rural Health Clinic/Center
- Pensacola, FL
National Provider Identifier
1972759611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 4300 Bayou Blvd Ste 17D
Pensacola, FL 32503-2671 - Phone
- (850) 472-0962
- NPI assigned
- Aug 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna M Stidham, R.N.
- Title
- Chief of Managed Care
- Phone
- (323) 860-5025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
4300 Bayou Blvd Ste 17D
Pensacola, FL 32503-2671
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
National Provider Directory
National Provider DirectoryLocations
2826 NE 8th St
Ste B13
Homestead, FL 33033
Phone (305) 246-5422
1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349
766 Lakeland Dr
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Jackson, MS 39216
Phone (601) 368-3440
1016 E Pike St
Seattle, WA 98122
Phone (206) 568-2486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1972759611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "833-241-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BAYOU BLVD STE 17D",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032671",
"telephone_number": "850-472-0962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "STIDHAM",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF OF MANAGED CARE",
"authorized_official_telephone_number": "323-860-5025",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.