1326094848 NPI number — SACRED HEART HOSPITAL ON THE EMERALD COAST

Table of content: SCOTT MICHAEL NAUM DO (NPI 1912912676)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326094848 NPI number — SACRED HEART HOSPITAL ON THE EMERALD COAST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SACRED HEART HOSPITAL ON THE EMERALD COAST
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326094848
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2699
Provider Second Line Business Mailing Address:
HEALTHPLAN ENROLLMENT
Provider Business Mailing Address City Name:
PENSACOLA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32513-2699
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-475-4620
Provider Business Mailing Address Fax Number:
850-475-4619

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4451 BAYOU BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENSACOLA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32503-2601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-475-4500
Provider Business Practice Location Address Fax Number:
850-475-4781
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FOLEY
Authorized Official First Name:
JAN
Authorized Official Middle Name:
Authorized Official Title or Position:
HPE SPECIALIST
Authorized Official Telephone Number:
850-475-4620

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CK9324 . This is a "RAILROAD GROUP PTAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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