EMERALD COAST SURGERY CENTER – NPI #1437114378
Clinic/Center

EMERALD COAST SURGERY CENTER is an AHC clinic located in FORT WALTON BEACH, FL. NPPES has assigned the NPI number 1437114378 to EMERALD COAST SURGERY CENTER on April 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EMERALD COAST SURGERY CENTER” is a dba name, the actual legal business name for this organization is EMERALD COAST SURGERY CENTER, LP. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Jan 27, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMERALD COAST SURGERY CENTER below.

NPI Profile for
EMERALD COAST SURGERY CENTER, LP

NPI Number
1437114378
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMERALD COAST SURGERY CENTER, LP
Doing Business As (dba): EMERALD COAST SURGERY CENTER
Primary location
995 MAR WALT DRIVE
FORT WALTON BEACH, FL 32547
Phone: (850) 863-7887 Fax: (850) 863-6645
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANNE KACHELHOFFER
ADMINISTRATOR
Phone: (850) 863-8165
Updated
Identifiers

Identifiers for EMERALD COAST SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL0791423
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.