Healthcare Provider Details

I. General information

NPI: 1861562886
Provider Name (Legal Business Name): SACRED HEART HEALTH SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5045 CARPENTER CREEK DR
PENSACOLA FL
32503-2521
US

IV. Provider business mailing address

5045 CARPENTER CREEK DR
PENSACOLA FL
32503-2521
US

V. Phone/Fax

Practice location:
  • Phone: 850-377-1334
  • Fax: 888-249-2325
Mailing address:
  • Phone: 850-377-1334
  • Fax: 888-249-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN STEARLY
Title or Position: CLINICAL PROGRAM DIR - EARLY STEPS
Credential: MS
Phone: 509-599-1878