Healthcare Provider Details

I. General information

NPI: 1558454132
Provider Name (Legal Business Name): BAPTIST URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 N 12TH AVE
PENSACOLA FL
32504-8919
US

IV. Provider business mailing address

PO BOX 732892
DALLAS TX
75373-2892
US

V. Phone/Fax

Practice location:
  • Phone: 850-208-6130
  • Fax: 850-208-6135
Mailing address:
  • Phone: 850-208-6130
  • Fax: 850-208-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHARON CREECH
Title or Position: DELEGATED OFFICIAL
Credential:
Phone: 850-475-3726