SACRED HEART HEALTH SYSTEM INC. NPI 1205376480

NPI Information

SACRED HEART HEALTH SYSTEM, INC. is a family nurse practitioner in Pensacola, FL. SACRED HEART HEALTH SYSTEM, INC. NPI is 1205376480. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shmg Walgreens 9th.

The provider's business location address is:

6314 N 9TH AVE
PENSACOLA, FL
ZIP 32504-320
Phone: (850) 416-4730
Fax: (850) 416-4703

The provider's authorized official is Miranda Hemm .
The authorized official title is Enrollment Manager and has the following contact phone number (904) 450-6004.

The CLIA number assigned to this NPI record is 10D2126082 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 5/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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