1700979465 NPI number — BAPTIST HEALTH CARE, INC

Table of content: (NPI 1700979465)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700979465 NPI number — BAPTIST HEALTH CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAPTIST HEALTH CARE, INC
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:
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:
1700979465
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
123 BAPTIST WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENSACOLA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32503-2254
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
448-227-8478
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 BAPTIST WAY
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:
32503-2254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
448-227-8478
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HUDNALL
Authorized Official First Name:
ASHLEE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF REVENUE CYCLE OPERATION
Authorized Official Telephone Number:
850-602-0960

Provider Taxonomy Codes

  • Taxonomy code: 273R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 4456 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 410 . This is a "HEALTH OPTIONS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 422 . This is a "BCBS OF FL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51249 . This is a "VISTA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21117 . This is a "HEALTHEASE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 422 . This is a "HEALTH OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5001809 . This is a "UHC FL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10170 . This is a "BCBS OF AL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 012806 . This is a "EMP. INSURANCE BOARD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10074900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 42 . This is a "PRIME HEALTH AL" identifier . This identifiers is of the category "OTHER".
  • Identifier: HOS0093P , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 410 . This is a "BCBS OF FL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 010074900 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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