Crestview Hospital Corporation
NPI 1598966343ActiveOrganization· Clinic/Center· Crestview, FL
Clinic/Center in Crestview, Florida, registered in NPPES in May 2007. The authorized official on file is Jennifer L. Jackson, Sr Dir Onboarding & Prov Enrollment.
Overview
| NPI | 1598966343 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2007 |
| Last updated in NPPES | Mar 18, 2022 |
| Certified by provider | Feb 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 4298 | FL |
| Clinic/Center, Ambulatory Surgical | 261QA1903X | 4298 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Crestview
- 1497122725
- 1891613097
- 1144836446
- 1356198949
- 1932861234
- 1316996713