MEDICARE: PENSACOLA HEALTH TRUST INC

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	314000000X	Skilled Nursing Facility	495	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326030768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENSACOLA HEALTH TRUST INC

Provider Business Mailing Address
First Line	:	2 N PALAFOX ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32502-5631
Country	:	US
Telephone Number	:	850-430-0000
Fax Number	:	850-436-6766

Provider Business Practice Location Address
First Line	:	538 MENGE AVE
Second Line	:
City	:	PASS CHRISTIAN
State	:	MS
Zip	:	39571-4234
Country	:	US
Telephone Number	:	228-452-4344
Fax Number	:	228-452-2264

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	SCOTT J BELL
Credential	:
Telephone Number	:	850-430-0000

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1063673820 — MS HUD DIXIE LLC
Practice Location Address:

538 MENGE AVE
PASS CHRISTIAN, MS
39571-4234

Practice Phone: 228-452-4344
Practice Fax:

1124776232 — 538 MENGE AVENUE OPERATIONS, LLC
Practice Location Address:

538 MENGE AVE
PASS CHRISTIAN, MS
39571-4234

Practice Phone: 228-452-4344
Practice Fax: 228-452-2264

1326798521 — HALEY TUTOR LPTA
Practice Location Address:

538 MENGE AVE
PASS CHRISTIAN, MS
39571-4234

Practice Phone: 228-452-4344
Practice Fax:

1134851769 — LORI FOWLER
Practice Location Address:

538 MENGE AVE
PASS CHRISTIAN, MS
39571-4234

Practice Phone: 228-452-4344
Practice Fax:

1730869306 — MICHAEL HULTS DC
Practice Location Address:

1529 NE F ST
GRANTS PASS, OR
97526-4234

Practice Phone: 541-476-0662
Practice Fax:

1083640007 — DR. MARY KATHLEEN HARRELL DMD
Practice Location Address:

1519 NE F ST
GRANTS PASS, OR
97526-4234

Practice Phone: 542-240-5678
Practice Fax:

Directions to “PENSACOLA HEALTH TRUST INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.