Provider Demographics
NPI:1902122344
Name:BAPTIST HOSPITAL, INC.
Entity Type:Organization
Organization Name:BAPTIST HOSPITAL, INC.
Other - Org Name:BAPTIST HOME HEALTH CARE MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR, CPFS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALBRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-469-2044
Mailing Address - Street 1:1901 N E ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1921
Mailing Address - Country:US
Mailing Address - Phone:850-437-8400
Mailing Address - Fax:850-437-8521
Practice Address - Street 1:1040 GULF BREEZE PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-7809
Practice Address - Country:US
Practice Address - Phone:850-437-8400
Practice Address - Fax:850-437-8521
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAPTIST HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies