MEDICARE: BAPTIST URGENT CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CK2987	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	B906Z	OTHER	FL	BCBSFL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558454132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST URGENT CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 732892
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-2892
Country	:	US
Telephone Number	:	850-208-6130
Fax Number	:	850-208-6135

Provider Business Practice Location Address
First Line	:	5100 N 12TH AVE
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32504-8919
Country	:	US
Telephone Number	:	850-208-6130
Fax Number	:	850-208-6135

Authorized Official
Title or Position	:	DELEGATED OFFICIAL
Name	:	SHARON CREECH
Credential	:
Telephone Number	:	850-475-3726

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	04/14/2026

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Directions to “BAPTIST URGENT CARE, LLC ” Practice Location

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