Crestview Hospital Corporation
NPI 1629026133ActiveOrganization· Family Medicine· Crestview, FL
Family Medicine in Crestview, Florida, registered in NPPES in May 2006. The authorized official on file is Jennifer L. Jackson, Sr Dir Onboarding & Prov Enrollment.
Overview
| NPI | 1629026133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Mar 18, 2022 |
| Certified by provider | Feb 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
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 Family Medicine providers in Crestview
- 1184805830
- 1396879185
- 1407735244
- 1710173638
- 1265299077
- 1477739829
- 1881363182
- 1942441795
- 1144451550
- 1063481182
- 1043298284
- 1447244223