1700979465 NPI number — BAPTIST HEALTH CARE, INC

Table of content: ALVIN DE LA CRUZ MARQUEZ DNP (NPI 1720316672)

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:
04/15/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 736685
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75373-6685
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: 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: 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: 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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