Crestview Hospital Corporation

NPI #1629026133 in Crestview, Florida

Provider Information

NPI Number
1629026133
Entity Type
Organization
Organization Name
Crestview Hospital Corporation
Primary Specialty
Family Medicine
Enumeration Date
May 5, 2006
Last Updated
Mar 18, 2022

Practice Location

Address
127C E. REDSTONE AVE
State
Florida
ZIP Code
32539-5356
Phone
(850) 423-0061

Authorized Official

Name
JENNIFER L JACKSON
Title
SR DIR ONBOARDING & PROV ENROLLMENT
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health
Internal Medicine
Family Medicine

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