GATEWAY MEDICAL CLINIC
NPI 1659348712
Clinic/Center - Rural Health in Crestview, FL

Active since March 07, 2006
127 E REDSTONE AVE, STE C, CRESTVIEW, FL 32539(850) 423-0061 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2023, Mar 31, 2021, Aug 4, 2017 (3 updates tracked since 2017).

About Gateway Medical Clinic NPPES

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

GATEWAY MEDICAL CLINIC (NPI 1659348712) is a healthcare organization registered as a rural health in Crestview, Florida and active in the NPI registry since March 2006. The organization lists Paula Lalor, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1659348712
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCRESTVIEW HOSPITAL COMPANY, LLC
Location Address127 E REDSTONE AVE, STE CCrestview, FL 32539-5358
Mailing AddressPo Box 198002Atlanta, GA 30384-8002
Organization SubpartYes
Authorized OfficialPaula LalorSr. Director · (629) 215-3953
Enumeration DateMarch 7, 2006
Last NPPES UpdateMarch 22, 20233 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1659348712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in FL · HCC3810
127 E REDSTONE AVE, Crestview, FL 32539

Other Names 1

Doing Business AsGateway Medical Clinic

Other Providers at the Same Location NPPES 3

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

Family Medicine
127 E REDSTONE AVE, SUITE C
CRESTVIEW, FL 32539
Family Medicine
127 E REDSTONE AVE, SUITE C
CRESTVIEW, FL 32539
Pediatrics
127 E REDSTONE AVE
CRESTVIEW, FL 32539

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 Company, LLC's NPI number?

The NPI number for Crestview Hospital Company, LLC is 1659348712. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Gateway Medical Clinic.

Where is Crestview Hospital Company, LLC located?

Crestview Hospital Company, LLC is located at 127 E Redstone Ave Ste C, Crestview, FL 32539. The listed phone number is (850) 423-0061.

What is Crestview Hospital Company, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Crestview Hospital Company, LLC was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.