Provider Demographics
NPI:1356470363
Name:BAPTIST HEALTH CARE INC
Entity Type:Organization
Organization Name:BAPTIST HEALTH CARE INC
Other - Org Name:BAPTIST HOME HEALTH AND DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDNALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-602-0960
Mailing Address - Street 1:9851 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-5741
Mailing Address - Country:US
Mailing Address - Phone:850-304-8657
Mailing Address - Fax:
Practice Address - Street 1:1901 N E ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1921
Practice Address - Country:US
Practice Address - Phone:850-437-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650659301Medicaid