Organization · Type 2 NPI

Ascension Sacred Heart Gulf

Rural Health Clinic/Center · Port St. Joe, FL

NPI number 1912466194 Active

Practice location

3871 E Highway 98 Ste 201
Port St. Joe, FL 32456-5302

Call (850) 229-3710 Map

Fax (850) 229-3712

Mailing address

PO Box 2699, Attn: Shmg/hpe
Pensacola, FL 32513-2699

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

3 other providers at this address

Ascension Sacred Heart GulfInterventional Cardiology Physician Port St. Joe, FL NPI 1023780269
Carolyn McCullagh Williams, PA-CPhysician Assistant Port St. Joe, FL NPI 1750478129
Elizabeth F. Curry, MDPediatrics Physician Port St. Joe, FL NPI 1851403992

Other rural health clinic/center providers in Port St. Joe

Ascension Sacred Heart GulfRural Health Clinic/Center Port St. Joe, FL NPI 1912495375

See all in Port St. Joe →

NPI record

NPI: 1912466194
Entity type: Organization (Type 2)
Issued: Mar 18, 2019
Last updated: Mar 19, 2021
Status: Active
Subpart: Yes of Sacred Heart Health System

Other names

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Ascension Medical Group Sacred Heart Gulf · doing business as

Authorized official

Miranda Hemm
Enrollment Manager
(904) 450-6004

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 1912466194

Ascension Sacred Heart Gulf's National Provider Identifier is 1912466194, issued on Mar 18, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Port St. Joe, FL. The record was last updated on Mar 19, 2021.