OrganizationActive
North Okaloosa Clinic Corp
NPI 1780365684 · Radiology Clinic/Center · Crestview, FL
North Okaloosa Clinic Corp is a Radiology Clinic/Center organization in Crestview, FL (NPI 1780365684).
Provider details
- NPI number
- 1780365684
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Director Provider Enrollment(615) 465-3334
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
151 E Redstone Ave
Crestview, FL 32539-5352
Phone: (850) 689-8100
Street-level locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Registry dates
- Enumerated
- 2023-07-25
- Last updated
- 2023-07-25
- Certified
- 2023-07-17
Frequently asked questions
- What is North Okaloosa Clinic Corp's NPI number?
- North Okaloosa Clinic Corp's National Provider Identifier (NPI) is 1780365684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Okaloosa Clinic Corp?
- North Okaloosa Clinic Corp is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is North Okaloosa Clinic Corp located?
- North Okaloosa Clinic Corp's practice location on file with NPPES is 151 E Redstone Ave, Crestview, FL 32539-5352.
- What is North Okaloosa Clinic Corp's phone number?
- The practice phone number listed in the NPPES registry for North Okaloosa Clinic Corp is (850) 689-8100.
- Who is the authorized official for North Okaloosa Clinic Corp?
- The authorized official listed on North Okaloosa Clinic Corp's NPPES record is Jennifer Jackson, Sr Director Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Okaloosa Clinic Corp's NPI active?
- Yes — North Okaloosa Clinic Corp's NPI (1780365684) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.