Organization Name: | SACRED HEART HOSPITAL ON THE GULF |
NPI Number: | 1982963344 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONDA M BOND (MGR;HEALTHPLAN ENROLLMENT) |
Mailing Address: | 55 Avenue 'e' Apalachicola |
State: | FL US |
Postal Code: | 323201763 |
Phone Number: | 8503701000 |
Fax Number: | 8503701006 |
NPI Enumeration Date: | 05/04/2012 |
NPI Last Update Date: | 07/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |