NPIMap

Adventist Health System/Sunbelt, Inc.

Organization Active NPI Urgent Care Clinic/Center · Ormond Beach, FL

NPI 1235637471 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1235637471
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Practice address
1245 W Granada Blvd
Ormond Beach, FL 32174-5914
Phone
(407) 200-2300
NPI assigned
Jan 23, 2018
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

Authorized official

Name
Matthew Brice
Title
VP/Cfo
Phone
(407) 200-2300

Other NPIs on the same Medicare enrollment 44

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 44

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2143977Adventist Health Systems Sunbelt Inc Dba
1245 West Granada Blvd, Ormond Beach, FL 32174		Certificate of waiverFeb 7, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040406001849 FL Part B Supplier - Clinic/Group Practice 6406849256 Receives reassigned benefits from 493 practitioners
44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Florida Hopsital Centra (59 organizations share this tax ID)
Part of
Florida Hopsital Centra

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Urgent Care Clinic/Center 261QU0200X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

1245 W Granada Blvd
Ormond Beach, FL 32174-5914

Mailing address

2600 Westhall LN Ste 300
Maitland, FL 32751-7107
Phone (407) 200-2300

Other identifiers

IdentifierTypeStateIssuer
00690OtherFLMEDICARE PIN
NZVNXOtherFLBCBS
013961738MedicaidFL

Other names

  • AdventHealth Centra Care - Ormond Beach Doing business as

Other providers in Ormond Beach, FL

All providers in Ormond Beach, FL · Urgent Care Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.