Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crestview Hospital Corporation

Organization Rural Health Clinic/Center · NPI 1770550964

Crestview Hospital Corporation is a Rural Health Clinic/Center in Defuniak Springs, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1045 US Highway 331 S Ste D
Defuniak Springs, FL 32435-3379
Phone: (850) 892-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence HCC3826 (FL)

Record details

NPI number1770550964
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCrestview Hospital Corporation
Authorized official Paula Lalor — Sr. Director · (629) 215-3953
Other names Gateway Medical Clinic - Defuniak Springs; Gateway Medical Clinic - Defuniak Springs
NPI enumeratedMarch 7, 2006
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing addressPo Box 198002, Atlanta, GA 30384-8002

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