GATEWAY MEDICAL CLINIC - DEFUNIAK SPRINGS
NPI 1770550964
Clinic/Center - Rural Health in Defuniak Springs, FL

Q: What is Crestview Hospital Corporation's NPI number?

The NPI number for Crestview Hospital Corporation is 1770550964. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Gateway Medical Clinic - Defuniak Springs.

Q: What is Crestview Hospital Corporation's specialty?

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

Active since March 07, 2006

1045 US HIGHWAY 331 S STE D, DEFUNIAK SPRINGS, FL 32435(850) 892-3366 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 31, 2021, Aug 4, 2017, Jul 27, 2017 (3 updates tracked since 2017).

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About Gateway Medical Clinic - Defuniak Springs NPPES

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

GATEWAY MEDICAL CLINIC - DEFUNIAK SPRINGS (NPI 1770550964) is a healthcare organization registered as a rural health in Defuniak Springs, Florida and active in the NPI registry since March 2006. The organization lists Paula Lalor, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1770550964

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCRESTVIEW HOSPITAL CORPORATION

Location Address1045 US HIGHWAY 331 S STE DDefuniak Springs, FL 32435-3379

Mailing AddressPo Box 198002Atlanta, GA 30384-8002

Phone(850) 892-3366

Organization SubpartYes

Authorized OfficialPaula LalorSr. Director · (629) 215-3953

Enumeration DateMarch 7, 2006

Last NPPES UpdateMarch 21, 20223 updates tracked since enumeration

NPPES CertifiedMarch 21, 2022

✔ NPI 1770550964 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 · HCC3826

1045 US HIGHWAY 331 S STE D, Defuniak Springs, FL 32435

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Other Names 1

Doing Business AsGateway Medical Clinic - Defuniak Springs

Other Providers at the Same Location NPPES

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

WENDY M HARRIS FNP-C

Nurse Practitioner (Family)

1045 US HIGHWAY 331 S STE D
DEFUNIAK SPRINGS, FL 32435

Walton County (850) 892-3366

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 1770550964. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Gateway Medical Clinic - Defuniak Springs.

Where is Crestview Hospital Corporation located?

Crestview Hospital Corporation is located at 1045 Us Highway 331 S Ste D, Defuniak Springs, FL 32435. The listed phone number is (850) 892-3366.

What is Crestview Hospital Corporation'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 Corporation was last updated on March 21, 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.