SACRED HEART HOSPITAL ON THE GULF (NPI# 1083941678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083941678 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOSPITAL ON THE GULF |
| Practice Address |
3801 E Highway 98 Port St Joe FL 32456-5318 |
| Mailing Address |
7928 Solution Ctr Lockbox 777928 Chicago IL 60677-7009 |
| Practice Telephone | 8502295600 |
| Practice Fax Number | 8504167453 |
| Mailing Telephone | 8504167190 |
| Mailing Fax Number | 8504167453 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2014-12-24 |
| Authorized Official Name | MRS. SUSAN DAVIS (CEO) |
| Authorized Official Telephone | 8504167010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | FL | Hospital Units | |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002012700 | 05 | |
| FL | BLUE CROSS OF FL | 159 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 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 |
| 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 |
3801 E HIGHWAY 98 |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447201447 | Joseph W. Heflin | Internal Medicine | 3801 E Highway 98, Suite 203, Port St Joe, FL 32456-5318 | 2006-05-14 |
| 1225406226 | Ty Peterson | Physical Therapist | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2015-09-08 |
| 1417297193 | Luthgarda Sta. Maria Del Pilar | Physical Therapist | 3801 E Highway 98, Suite 100, Port St Joe, FL 32456-5318 | 2013-02-18 |
| 1508105610 | Sacred Heart On The Gulf | Rehabilitation Hospital | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2013-02-08 |
| 1083975148 | Edilma Duval | Physical Therapist | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2012-06-06 |
| 1649544636 | Monica Pineda | Physical Therapist | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2012-03-08 |
| 1710269071 | Sacred Heart On The Gulf | General Acute Care Hospital | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2011-09-13 |
| 1396030748 | Joshua Thomas James | Emergency Medicine | 3801 E Highway 98, Er, Port St Joe, FL 32456-5318 | 2011-06-14 |
| 1285846766 | Stephanie Margaret Johnson | Emergency Medicine | 3801 E Highway 98, Er, Port St Joe, FL 32456-5318 | 2007-05-04 |
| 1518003995 | Kimberly Thomas Wagner | Physical Therapist | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235660960 | Abegail Unico | General Acute Care Hospital | 116 Cypress Ln, Royal Palm Beach, FL 33411-8630 | 2017-03-24 |
| 1699210625 | Lakesha Ruise | General Acute Care Hospital | 638 Islamorada Dr N, Macclenny, FL 32063-8828 | 2016-12-29 |
| 1235683368 | Clinix Billing, LLC | General Acute Care Hospital | 12559 Foynes Ave, Windermere, FL 34786-6668 | 2016-08-05 |
| 1972985489 | Christine Truschka Larsen | General Acute Care Hospital | 1835 Sw 34th Ct, Ocala, FL 34474-2836 | 2015-06-19 |
| 1215353933 | Broward Health | General Acute Care Hospital | 1608 Se 3rd Avenue, Fort Lauderdale, FL 33316 | 2014-03-06 |
| 1174825624 | Tuba City Regional Health Care Center | General Acute Care Hospital | 1660 Foothill Ter, Deltona, FL 32725-6038 | 2010-12-03 |
| 1467534917 | H C Healthcare Inc | General Acute Care Hospital | 506 Nw 4th Street, Jasper, FL 32052-6603 | 2006-10-20 |
| 1801885413 | District Hospital Holdings Inc | General Acute Care Hospital | 39200 Hooker Hwy, Belle Glade, FL 33430 | 2005-10-17 |
| 1710984299 | Healthmark of Walton Inc | General Acute Care Hospital | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2005-06-30 |
| 1295274983 | Miami Va Healthcare System | General Acute Care Hospital | 1201 Nw 16th St, Miami, FL 33125-1624 | 2017-02-15 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
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.