CRESTVIEW HOSPITAL CORPORATION (NPI# 1659348712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659348712 |
| Entity Type | Organization |
| Organization Name | CRESTVIEW HOSPITAL CORPORATION |
| Other Organization Name | GATEWAY MEDICAL CLINIC |
| Practice Address |
127 E Redstone Ave Ste C Crestview FL 32539-5358 |
| Mailing Address |
Po Box 198002 Atlanta GA 30384-8002 |
| Practice Telephone | 8504230061 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRESTVIEW HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
HCC3810 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gateway Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629026133 | Crestview Hospital Corporation | Internal Medicine | 127c E. Redstone Ave, Crestview, FL 32539-5356 | 2006-05-05 |
| 1770550964 | Crestview Hospital Corporation | Clinic/Center | 1045 Us Highway 331 S Ste D, Defuniak Springs, FL 32435-3379 | 2006-03-07 |
| 1457864357 | Crestview Hospital Corporation | Medicare Defined Swing Bed Unit | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2017-11-14 |
| 1851570071 | Crestview Hospital Corporation | Orthopaedic Surgery | 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 | 2007-10-25 |
| 1598966343 | Crestview Hospital Corporation | Clinic/Center | 400 Redstone Ave W, Crestview, FL 32536-8467 | 2007-05-30 |
| 1861441057 | Crestview Hospital Corporation | Family Medicine | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2006-05-08 |
| 1902854425 | Crestview Hospital Corporation | Internal Medicine | 650 Us Highway 331 S, Ste. 4, Defuniak Springs, FL 32435-3349 | 2006-05-05 |
| 1104897859 | Crestview Hospital Corporation | General Acute Care Hospital | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2006-01-31 |
| 1609879246 | Crestview Hospital Corporation | Family Medicine | 330 Franklin Rd, Ste 135a, Brentwood, TN 37027-3282 | 2005-05-27 |
| Street Address |
127 E REDSTONE AVE STE C |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-5358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262650 | Marty P Gagliardi | Specialist | 127 E Redstone Ave, Suite B, Crestview, FL 32539-5358 | 2005-08-16 |
| 1467609198 | Paul Nicholas Motta | Family Medicine | 127 E Redstone Ave, Suite C, Crestview, FL 32539-5358 | 2008-08-25 |
| 1801867973 | Julio A Silva | Family Medicine | 127 E Redstone Ave, Suite C, Crestview, FL 32539-5358 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| 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 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.