SACRED HEART HOSPITAL ON THE GULF (NPI# 1023506532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023506532 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOSPITAL ON THE GULF |
| Other Organization Name | SACRED HEART MEDICAL GROUP ON THE GULF RURAL HEALTH AT WEWA |
| Practice Address |
805 Highway 22 Wewahitchka FL 32465-3237 |
| Mailing Address |
Po Box 2699 Attn: Shmg/hpe Pensacola FL 32513-2699 |
| Practice Telephone | 8505681053 |
| Practice Fax Number | 8505681140 |
| Mailing Telephone | 8505681053 |
| Mailing Fax Number | 8505681140 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | RONDA MICHELLE BOND (TRANSFORMATION SPECIALIST) |
| Authorized Official Telephone | 8504754682 |
| Authorized Official Credential | CMA, CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | SACRED HEART HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sacred Heart Medical Group on the Gulf Rural Health at Wewa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1912466194 | Sacred Heart Hospital On The Gulf | Clinic/Center | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456-5302 | 2019-03-18 |
| 1912495375 | Sacred Heart Hospital On The Gulf | Clinic/Center | 3871 E Highway 98 Ste 203, Port St Joe, FL 32456-5302 | 2018-05-01 |
| 1528336302 | Sacred Heart Hospital On The Gulf | Internal Medicine | 4451 Bayou Blvd, Attn: Shmg/hpe, Pensacola, FL 32503-2601 | 2011-12-07 |
| 1083941678 | Sacred Heart Hospital On The Gulf | Medicare Defined Swing Bed Unit | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2009-11-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SACRED HEART HOSPITAL ON THE GULF | 3801 E Highway 98, Port Saint Joe, FL 32456-5318 |
| Street Address |
805 HIGHWAY 22 |
| City | WEWAHITCHKA |
| State | FL |
| Zip Code | 32465-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215142765 | David B. Lister | Dentist | 403 South Highway 71, Wewahitchka, FL 32465 | 2007-05-10 |
| 1144309758 | Gulf County Board of County Comm | Ambulance | 237 West River Road, Wewa, FL 32465 | 2006-11-03 |
| 1447223573 | Susan Marie Neal | Dental Hygienist | 232 East Lake Avenue, Wewahitchka, FL 32465 | 2006-02-09 |
| 1750384012 | John M. Griggs | Registered Nurse | Ascension Medical Group Wewahitchka, 805 Hwy 22, Wewahitchka, FL 32465 | 2005-05-31 |
| 1942203625 | Michael Edward Barnes | Family Medicine | 412 N Highway 71, Wewahitchka, FL 32465-0412 | 2005-05-24 |
| 1952587461 | Pamela Jeanne Jansen | Nurse Practitioner | 500 Ike Steele Rd, Wewahitchka, FL 32465-2428 | 2008-01-14 |
| 1487013892 | Melissa Hickman | Massage Therapist | 106 Crestwood Ln, Wewahitchka, FL 32465-3133 | 2016-02-12 |
| 1801255831 | Melissa's Kneaded Touch, LLC | Massage Therapist | 106 Crestwood Ln, Wewahitchka, FL 32465-3133 | 2016-02-18 |
| 1265524391 | Curtis Jay Black | Family Medicine | 807 Highway 22, Wewahitchka, FL 32465-3237 | 2006-09-28 |
| 1326458159 | Heather Elaine Wells | Family Medicine | 807 Highway 22, Wewahitchka, FL 32465-3237 | 2014-05-01 |
| Find all providers in zip 32465 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| 1336454339 | West Florida Medical Associates, P. A | Clinic/Center | 4363 South Suncoast Blvd, Homosassa Springs, FL 34446 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
| City | WEWAHITCHKA |
| Zip Code | 32465 |
Please comment or provide details below to improve the information on SACRED HEART HOSPITAL ON THE GULF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.