Organization · Type 2 NPI

Crestview Hospital Company, LLC

Rural Health Clinic/Center · Crestview, FL

NPI number 1659348712 Active

Practice location

127 E Redstone Ave, Ste C
Crestview, FL 32539-5358

Call (850) 423-0061 Map

Mailing address

PO Box 198002
Atlanta, GA 30384-8002

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center	261QR1300X	HCC3810 (FL)
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Other rural health clinic/center providers in Crestview

North Okaloosa Clinic CorpRural Health Clinic/Center Crestview, FL NPI 1063364420

See all in Crestview →

NPI record

NPI: 1659348712
Entity type: Organization (Type 2)
Issued: Mar 7, 2006
Last updated: Mar 22, 2023
Status: Active
Subpart: Yes of Crestview Hospital Company, LLC

Other names

<unavail>
Gateway Medical Clinic · doing business as
Gateway Medical Clinic · doing business as

Authorized official

Paula Lalor
Sr. Director
(629) 215-3953

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659348712

Crestview Hospital Company, LLC's National Provider Identifier is 1659348712, issued on Mar 7, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Crestview, FL. The record was last updated on Mar 22, 2023.