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NPI Code Detail

MEDICARE: PENSACOLA HEALTH TRUST INC

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
1314000000XSkilled Nursing Facility456MS

Other Identifiers

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

General Provider Information

NPI Number : 1730171000
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 : 1199 OCEAN SPRINGS RD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-3421
Country : US
Telephone Number : 228-875-9363
Fax Number : 228-872-4500
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

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Directions to “PENSACOLA HEALTH TRUST INC ” Practice Location

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