South Walton Medical Center Inc

LBN: South Walton Medical Center Inc
South Walton Medical Center Inc is an health care organization with primary practice located at 10005C Us Highway 98 W , Destin FL 32550-4962. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. South Walton Medical Center Inc can be contacted via phone (850) 837-8005, or through Causton, Ronald Bruce via phone (850) 837-8005.

Contact Information

Primary practice address
10005C Us Highway 98 W Destin FL 32550-4962
Phone: (850) 837-8005
Fax: (850) 837-4352
Website:
Map and Directions
Authorized official contact:
Name: Causton, Ronald Bruce Doctor of Medicine (MD)
Phone: (850) 837-8005

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X FLME43330 Florida

Profile Details

NPI number 1659541340
LBN Legal business name South Walton Medical Center Inc
DBA Doing business as
Authorized official Causton, Ronald Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2008
Last updated Feb 3rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659541340 NPPES
Florida MEDICAID 265468700
Florida Other 46168

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