OUR LADY OF ANGELS ST. JOSEPH MEDICAL CLINIC INC NPI 1831523612

NPI Information

NPI: 1831523612
Provider Name: OUR LADY OF ANGELS, ST. JOSEPH MEDICAL CLINIC, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
131 W. INTENDENCIA ST.
PENSACOLA, FL
ZIP 32502
Phone: (850) 434-8162
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OUR LADY OF ANGELS, ST. JOSEPH MEDICAL CLINIC, INC is a primary care clinic center in Pensacola, FL. OUR LADY OF ANGELS, ST. JOSEPH MEDICAL CLINIC, INC NPI is 1831523612. The provider is registered as an organization entity type.

The provider's business location address is:

131 W. INTENDENCIA ST.
PENSACOLA, FL
ZIP 32502
Phone: (850) 434-8162
Fax: (850) 434-8996

The provider's authorized official is David Conkle .
The authorized official title is Medical Director and has the following contact phone number (850) 434-8162.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 8/30/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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