Organization Active NPI

AIDS Healthcare Foundation

  • Rural Health Clinic/Center
  • Pensacola, FL
National Provider Identifier
1972759611
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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

Updated by the provider on Sep 11, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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
#A
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.

Verify at the official NPI Registry.