Provider Demographics
NPI:1972664530
Name:BAPTIST HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BAPTIST HEALTH CARE, INC.
Other - Org Name:GULF BREEZE HOSPITAL
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:PO BOX 17106
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32522-7106
Mailing Address - Country:US
Mailing Address - Phone:850-469-2044
Mailing Address - Fax:850-434-4683
Practice Address - Street 1:1110 GULF BREEZE PKWY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4884
Practice Address - Country:US
Practice Address - Phone:850-469-2044
Practice Address - Fax:850-434-4683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL410OtherBCBS OF FL
ALHOS0266NMedicaid
ALHOS0266NMedicaid