Provider Demographics
NPI:1902052731
Name:BAPTIST HOSPITAL NORTH FAMILY PRACTICE LLC
Entity Type:Organization
Organization Name:BAPTIST HOSPITAL NORTH FAMILY PRACTICE LLC
Other - Org Name:JAMES EDWARD BINKARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAULKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-434-4011
Mailing Address - Street 1:9290 BALDRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-5505
Mailing Address - Country:US
Mailing Address - Phone:850-472-0123
Mailing Address - Fax:850-472-0122
Practice Address - Street 1:9290 BALDRIDGE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5505
Practice Address - Country:US
Practice Address - Phone:850-472-0123
Practice Address - Fax:850-472-0122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 9522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty