NPIMap

Organization Active NPI

Lakeland Regional Medical Center, Inc.

Doing business as Lakeland Regional Medical Center

  • General Acute Care Hospital
  • Lakeland, FL
National Provider Identifier
1144228446
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4413 Issued in FL
Legal business name
LAKELAND REGIONAL MEDICAL CENTER, INC.
Doing business as
Lakeland Regional Medical Center
Practice address
1324 Lakeland Hills Blvd
Managed Care Dept
Lakeland, FL 33805-4543
Phone
(863) 687-1100
Fax
(863) 687-1473
NPI assigned
Jul 11, 2005
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lance Green
Title
Cfo
Phone
(863) 687-1100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Psychiatric Hospital Unit 273R00000X 4413 FL
Rehabilitation Hospital Unit 273Y00000X 4413 FL
General Acute Care Hospital 282N00000X 4413 FL Primary

Addresses

Primary practice location

1324 Lakeland Hills Blvd
Managed Care Dept
Lakeland, FL 33805-4543

Mailing address

1324 Lakeland Hills Blvd
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100

Other identifiers 1

IdentifierTypeStateIssuer
010164800MedicaidFL

Other names 1

  • LAKELAND REGIONAL MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060202000015 FL Part A Provider - Hospital 5496741654 Practice locations: Lakeland, FL; Winter Haven, FL
O20130827000827 FL Part A Provider - Hospital 5496741654 Practice locations: Lakeland, FL
O20151027000008 FL Part A Provider - Hospital 5496741654 Practice locations: Lakeland, FL

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1144228446. Details of each certification follow.

Hospital certification: CCN 100157

Legal name
LAKELAND REGIONAL MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 16, 2019
Beds
892
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 10, 1986 in FL
Enrollment address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Hospital certification: CCN 10S157

Legal name
LAKELAND REGIONAL MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Mar 10, 1986 in FL
Enrollment address
1324 Lakeland Hills Blvd
Attn: Managed Care Department
Lakeland, FL 33805-4543
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric

Hospital certification: CCN 10T157

Legal name
LAKELAND REGIONAL MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Mar 10, 1986
Enrollment address
1324 Lakeland Hills Blvd
Lakeland Regional Medical Center
Lakeland, FL 33805-4543
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Lakeland Regional Medical CenterCCN 100157 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Lakeland Regional HealthCCN 10T157 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2025

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0645599Lakeland Regional Medical Center1324 Lakeland Hills Blvd, Lakeland, FL 33805AccreditationFeb 27, 2027
10D0948836Lakeland Regional Medical Ctr Nursing1324 Lakeland Hills Blvd, Lakeland, FL 33805Certificate of waiverJul 19, 2028
10D2258921Lakeland Regional Medical Center, Inc1324 Lakeland Hills Blvd, Lakeland, FL 33805Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1324 Lakeland Hills Blvd
Ofc
Lakeland, FL 33805
Phone (863) 687-1177

2000 E Edgewood Dr
Ste 111
Lakeland, FL 33803
Phone (863) 291-8644

2125 Sleepy Hill Rd
Lakeland, FL 33810
Phone (863) 267-9622

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

3644 Innovation Dr
Lakeland, FL 33812
Phone (863) 284-1583

250 3rd St NW
Ste 202
Winter Haven, FL 33881
Phone (863) 595-1071

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Danielle Drummond Individual Corporate OfficerPresident & Ceo Jan 1, 2021
Corporate DirectorPresident & Ceo Jan 1, 2021
W-2 Managing EmployeePresident & Ceo Jan 1, 2021
W-2 Managing Employee Aug 16, 2022
Lance W Green Individual Corporate OfficerEvp/Cfo Jun 1, 2019
W-2 Managing EmployeeEvp/Cfo Jun 1, 2019
Operational/Managerial ControlEvp/Cfo Jun 1, 2019
Corporate OfficerVP of Finance Jun 1, 2019
W-2 Managing EmployeeVP of Finance Jun 1, 2019
Operational/Managerial ControlVP of Finance Jun 1, 2019

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 268

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 268

Affiliated clinicians 766

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 766

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1144228446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "address_2": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1100",
            "fax_number": "863-687-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "address_2": "MANAGED CARE DEPT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1100",
            "fax_number": "863-687-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-687-1100"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "FL",
            "license": "4413",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "FL",
            "license": "4413",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010164800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKELAND REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAKELAND REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.