Sacred Heart Medical Group
Clinic/Center, Primary Care in Pensacola, FL. Organization (NPI-2).
NPI number1487948659
StatusActive
Last updated in NPPESJun 6, 2011
Details
- NPI
- 1487948659
- Entity type
- Organization (NPI-2)
- Legal business name
- Sacred Heart Medical Group
- Organization subpart
- No
- Enumeration date
- Jun 6, 2011
- Last updated
- Jun 6, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | ARNP9324383 | FL | Yes |
Practice location
5147 N 9th Ave Ste 103Pensacola, FL 32504-8771
Phone 850-416-6886
Mailing address
5147 N 9th Ave Ste 103Pensacola, FL 32504-8771
Phone 850-416-6886
Authorized official
Kathryn Audell Piburn
Nurse Practitioner
2517096297
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