Active NPI
Adventist Health System-Sunbelt Inc
- Psychiatric Hospital Unit
- Lake Placid, FL
National Provider Identifier
1033211180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 4171
- Legal business name
- ADVENTIST HEALTH SYSTEM-SUNBELT INC
- Practice address
- 1210 US 27 N
Lake Placid, FL 33852-7948 - Phone
- (863) 465-3777
- Fax
- (863) 699-4339
- NPI assigned
- Sep 1, 2006
- Organization subpart
- Yes
- Parent organization
- ADVENTIST HEALTH SYSTEM-SUNBELT INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Thomason
- Title
- Cfo
- Phone
- (863) 402-3366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 4171 | FL | Primary |
Addresses
Primary practice location
1210 US 27 N
Lake Placid, FL 33852-7948
Mailing address
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522 | Other | FL | BLUE CROSS |
| 010090100 | Medicaid | FL |
Other names 1
- Florida Hospital Heartland Psychiatric Unit
National Provider Directory
National Provider Directory- Part of
- Erick Calderon MD
Locations
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Tustin, CA
- NPI 1881649853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1033211180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721986",
"telephone_number": "863-402-3366",
"fax_number": "863-402-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 US 27 N",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338527948",
"telephone_number": "863-465-3777",
"fax_number": "863-699-4339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH SYSTEM-SUNBELT INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEM-SUNBELT INC",
"enumeration_date": "2006-09-01",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "THOMASON",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "863-402-3366"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "FL",
"license": "4171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "522",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010090100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Hospital Heartland Psychiatric Unit",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Florida Hospital Heartland Psychiatric Unit",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.