NPIMap

Organization Active NPI

Adventist Health System-Sunbelt Inc

Doing business as AdventHealth Wauchula

  • Critical Access Hospital
  • Wauchula, FL
National Provider Identifier
1457458986
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4239 Issued in FL
Legal business name
ADVENTIST HEALTH SYSTEM-SUNBELT INC
Doing business as
AdventHealth Wauchula
Adventhealth Wauchula-Swing Bed
Florida Hospital Wauchula Swing Bed
Practice address
735 S 5TH Ave
Wauchula, FL 33873-3158
Phone
(863) 773-3101
Fax
(863) 773-0126
NPI assigned
Sep 19, 2006
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Jason Dunkel
Title
Ceo
Phone
(863) 402-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 4239 FL Primary

Addresses

Primary practice location

735 S 5TH Ave
Wauchula, FL 33873-3158

Mailing address

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3366

Other identifiers 7

IdentifierTypeStateIssuer
21310OtherFLHEALTHEASE
522OtherFLBLUE CROSS/BLUE SHIELD
L5NOtherFLBLUE CROSS BLUE SHIELD
524OtherFLBLUE CROSS/BLUE SHIELD
010260100OtherFLMEDIPASS
010260100MedicaidFL
308621OtherFLFEDERAL BLACK LUNG

Other names 3

  • AdventHealth Wauchula Doing business as
  • Adventhealth Wauchula-Swing Bed Doing business as
  • Florida Hospital Wauchula Swing Bed Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other
CONNECT URL https://www.mettles.com/ Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805000440 FL Part A Provider - Critical Access Hospital 0749232445 1 other NPI on this enrollment
Practice locations: Wauchula, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457458986. Details of each certification follow.

Hospital certification: CCN 10Z300

Legal name
ADVENTIST HEALTH SYSTEM-SUNBELT INC
Doing business as
ADVENTHEALTH WAUCHULA-SWING BED
Organization structure
CorporationNon-profit
Enrollment address
735 S 5TH Ave
Wauchula, FL 33873-3158
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Jason Dunkel Individual Contracted Managing Employee Jul 31, 2022
Corporate OfficerBoard Secretary/Ceo Dec 8, 2022
Corporate DirectorDirector/Ceo Aug 25, 2022
Operational/Managerial ControlCeo Jul 31, 2022
Fred Hawkins Individual Corporate DirectorDirector Dec 7, 2023
Dini H Rada Individual Corporate DirectorDirector Aug 22, 2024
Richard K Justice Individual Corporate DirectorDirector Sep 18, 2008
William Chen Individual Corporate DirectorDirector Feb 17, 2022
William a Fields Individual Corporate DirectorDirector Feb 16, 2023
Terry Atchley Individual Corporate DirectorDirector Dec 5, 2013
Witford L Reid Individual Corporate DirectorDirector Aug 22, 2024
Jeffrey Chilson Individual Contracted Managing EmployeeCfo Sep 15, 2025
Corporate OfficerCfo Sep 15, 2025
Operational/Managerial ControlCfo Sep 15, 2025
Timothy Clark Individual Corporate DirectorDirector Dec 8, 2022
Thomas Michael Shimshak Individual Corporate DirectorDirector Dec 10, 2020
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 15, 1997 100%
William R Jarrett Individual Corporate DirectorDirector Sep 13, 2007
Jennifer J Wandersleben Individual Corporate OfficerChairperson/Director Dec 2, 2021
Corporate DirectorChairperson/Director Dec 2, 2021
Timothy Sheehan Individual Corporate DirectorDirector Dec 17, 2009
Catherine Cornelius Individual Corporate DirectorDirector Aug 18, 2005
Richard a Campbell Individual Corporate DirectorDirector Dec 5, 2013
Adventist Health System Sunbelt Inc Organization, Altamonte Springs, FL Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 15, 1997 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 88

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 88

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1457458986",
    "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": "735 S 5TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733158",
            "telephone_number": "863-773-3101",
            "fax_number": "863-773-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM-SUNBELT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "DUNKEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-402-3366"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "4239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "21310",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "522",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "L5N",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "524",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPASS",
            "identifier": "010260100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010260100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "308621",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AdventHealth Wauchula",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventhealth Wauchula-Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Hospital Wauchula Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauchula, FL

Sources for this page

Verify at the official NPI Registry.