CRESTVIEW SURGERY CENTER
NPI 1598966343
Clinic/Center in Crestview, FL

Active since May 30, 2007
400 REDSTONE AVE W, CRESTVIEW, FL 32536(850) 689-8100 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Crestview Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTVIEW SURGERY CENTER (NPI 1598966343) is a healthcare organization registered as a clinic/center in Crestview, Florida and active in the NPI registry since May 2007. The organization lists Jennifer L Jackson, Sr Dir Onboarding & Prov Enrollment, as its authorized official.

NPPES Registry Identity

NPI1598966343
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCRESTVIEW HOSPITAL CORPORATION
Location Address400 REDSTONE AVE WCrestview, FL 32536-8467
Mailing AddressPo Box 198002Atlanta, GA 30384-8002 · (850) 689-8100
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Onboarding & Prov Enrollment · (615) 465-3334
Enumeration DateMay 30, 2007
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedFebruary 14, 2022
NPI 1598966343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · 4298
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 4298 (FL)
400 REDSTONE AVE W, Crestview, FL 32536

Other Names 1

Doing Business AsCrestview Surgery Center

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
400 REDSTONE AVE W
CRESTVIEW, FL 32536
Surgery
400 REDSTONE AVE W
CRESTVIEW, FL 32536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crestview Hospital Corporation's NPI number?

The NPI number for Crestview Hospital Corporation is 1598966343. It was assigned to this organization in the NPPES registry on May 30, 2007. The provider is doing business as Crestview Surgery Center.

Where is Crestview Hospital Corporation located?

Crestview Hospital Corporation is located at 400 Redstone Ave W, Crestview, FL 32536. The listed phone number is (850) 689-8100.

What is Crestview Hospital Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Crestview Hospital Corporation was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.