Healthcare Provider Details

I. General information

NPI: 1730014945
Provider Name (Legal Business Name): OKALOOSA HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 TWIN SPRINGS WAY
DEFUNIAK SPRINGS FL
32435-8726
US

IV. Provider business mailing address

160 TWIN SPRINGS WAY
DEFUNIAK SPRINGS FL
32435-8726
US

V. Phone/Fax

Practice location:
  • Phone: 850-389-6955
  • Fax:
Mailing address:
  • Phone: 850-389-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK DAY
Title or Position: CFO
Credential:
Phone: 850-389-6955