SACRED HEART HEALTH SYSTEM INC. NPI 1881134153

NPI Information

SACRED HEART HEALTH SYSTEM, INC. is a family nurse practitioner in Pensacola, FL. SACRED HEART HEALTH SYSTEM, INC. NPI is 1881134153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Shmg Walgreens Pine Forest.

The provider's business location address is:

2237 W NINE MILE RD
PENSACOLA, FL
ZIP 32534-416
Phone: (850) 416-4740
Fax: (850) 416-4705

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 10D0856905 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2017 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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