Ascension Medical Group Sacred Heart Gulf | |
3871 E Highway 98 Ste 203 Port St Joe FL 32456-5302 | |
(850) 229-5661 | |
(850) 229-5662 |
Full Name | Ascension Medical Group Sacred Heart Gulf |
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Speciality | Clinic/Center |
Location | 3871 E Highway 98 Ste 203, Port St Joe, Florida |
Authorized Official Name and Position | Miranda Hemm (ENROLLMENT MANAGER) |
Authorized Official Contact | 9044506004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ascension Medical Group Sacred Heart Gulf Po Box 2699 Attn: Shmg/hpe Pensacola FL 32513-2699 Ph: (850) 229-5661 | Ascension Medical Group Sacred Heart Gulf 3871 E Highway 98 Ste 203 Port St Joe FL 32456-5302 Ph: (850) 229-5661 |
NPI Number | 1912495375 |
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Provider Enumeration Date | 05/01/2018 |
Last Update Date | 03/19/2021 |
Medicare PECOS PAC ID | 9830231034 |
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Medicare Enrollment ID | O20190325000857 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912495375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Salt And Ivy Gulf Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Good Morning St Ste 109b, Port St Joe, FL 32456 Phone: 850-357-8192 Fax: 850-659-9565 | |
Shoreline Medical Group, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Baltzell Ave, Port St Joe, FL 32456 Phone: 850-229-8010 Fax: 850-227-3177 | |
New Horizon Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Ascension Sacred Heart Gulf Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3871 E Highway 98 Ste 203, Port St Joe, FL 32456 Phone: 850-229-5601 Fax: 850-229-5696 | |
Vincent M Ivers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 20th St, Port St Joe, FL 32456 Phone: 850-227-7070 Fax: 850-227-1989 | |
Down Time Hyperbarics And Emergency Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6428 W Highway 98, Port St Joe, FL 32456 Phone: 330-773-3544 Fax: 330-773-3698 | |
Ascension Medical Group Sacred Heart Gulf Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 Phone: 850-229-3710 Fax: 850-229-3712 |