NPIMap

Organization Active NPI

Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
National Provider Identifier
1477599975
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3974 Issued in FL
Legal business name
WINTER HAVEN HOSPITAL INC
Practice address
200 Ave F NE
Winter Haven, FL 33881
Phone
(863) 293-1121
Fax
(813) 635-2613
NPI assigned
Jun 22, 2006
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Tamblyn R. Cubero
Title
Manager, Cbo Finance
Phone
(727) 281-9257

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
General Acute Care Hospital 282N00000X 3974 FL Primary
Obstetrics & Gynecology Physician 207V00000X NU
Maternal & Fetal Medicine Physician 207VM0101X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

200 Ave F NE
Winter Haven, FL 33881

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9390

Other practice location 1

101 Avenue O SE
Winter Haven, FL 33880-4333
Phone (863) 294-7010

Other identifiers 8

IdentifierTypeStateIssuer
010169900MedicaidFL
98943OtherFLBC 1500
060611100MedicaidFL
507OtherFLBC UB
C11283OtherFLMEDICARE RAILROAD 1500
060611101MedicaidFL
223OtherFLBCBSF
010169903OtherFLMEDICAID UB

Other names 1

  • Centers for Behavioral Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040210000095 FL Part B Supplier - Clinic/Group Practice 4789578972 Receives reassigned benefits from 176 practitioners
1 other NPI on this enrollment
Practice locations: Winter Haven, FL; Lake Wales, FL; Haines City, FL; Bartow, FL; Auburndale, FL
O20090924000671 FL Part A Provider - Hospital 4789578972 Practice locations: Winter Haven, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477599975. Details of each certification follow.

Hospital certification: CCN 100052

Legal name
WINTER HAVEN HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 1, 2007
Beds
508
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
200 Avenue F NE
Winter Haven, FL 33881-4131
Other Hospital Practice Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Winter Haven HospitalCCN 100052 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
10D0293341Winter Haven Hospital Clinical Laboratory200 Ave F NE, Ms 9078, Winter Haven, FL 33881AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Locations

201 State Road 60 W
Lake Wales, FL 33853
Phone (863) 679-9644

100 1st St S
Winter Haven, FL 33880
Phone (863) 292-4077

200 Avenue F NE
Fl 2
Winter Haven, FL 33881
Phone (727) 863-2911

3425 Lake Alfred Rd
Winter Haven, FL 33881
Phone (863) 292-4060

460 1st St N
Winter Haven, FL 33881

5999 Dundee Rd
Ste 750
Winter Haven, FL 33884
Phone (863) 292-4077

6035 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 324-0805

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)…
  • HealthSun Health Plans Network
  • 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 26

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

NameRoleSinceShare
James Cantonis Individual Corporate Director Feb 1, 2022
Katherine E Cole Individual Corporate Director Feb 1, 2022
Kimberly Guy Individual Corporate OfficerPresident Mar 30, 2025
Operational/Managerial ControlPresident/Coo Mar 30, 2025
Patricia Shirley Individual Corporate Director Feb 1, 2022
Tracy L Halme Individual Corporate Director Feb 1, 2022
Donna G Lancaster Individual Corporate Director Feb 1, 2022
Jorge P Navas Individual Corporate Director Feb 1, 2022
Rena Jade Upshaw-Frazier Individual Corporate Director Feb 1, 2022
David Almon Rood Individual Operational/Managerial ControlVP, Finance - Baycare Feb 19, 2018
Lynda Gorken Individual Operational/Managerial ControlVP, Patient Fin SVS, Baycare May 25, 2014
Hugh Scott Campbell Individual Corporate Director Feb 1, 2022
Ricardo Colon Individual Corporate Director Feb 1, 2022
Kurt Erickson Individual Corporate Director Feb 1, 2022
Ronald Beamon Individual Operational/Managerial ControlVP/Cfo, Baycare Hospital Div May 7, 2018
Rafael Garcia Individual Corporate Director Feb 1, 2022
Cathy P Swanson Individual Corporate Director Feb 1, 2022
Janice Sue Polo Individual Operational/Managerial ControlEvp, Cfo, Baycare Jun 4, 2017
Susan Latvala Individual Corporate Director Feb 1, 2022
Thomas P Inzina Individual Operational/Managerial ControlPresident, Ceo, Baycare May 25, 2016
Marion C. Albanese Individual Corporate Director Feb 1, 2022
Baycare Health System, Inc. Organization, Clearwater, FL Non-profit 5% Or Greater Direct Ownership Interest Aug 30, 2013 100%
David William Morrow Individual Corporate Director Feb 1, 2022
Alan Bomstein Individual Corporate Director Feb 1, 2022
Robert a Burwell Individual Corporate Director Feb 1, 2022
Charles Osterholt Individual Corporate Director Feb 1, 2022
Yvonne M. Fry Individual Corporate Director Feb 1, 2022

Owners & managing parties with NPI records 3

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

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 294

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 294

Affiliated clinicians 534

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

View all 534

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1477599975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-281-9390",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-293-1121",
            "fax_number": "813-635-2613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Avenue O SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804333",
            "country_code": "US",
            "telephone_number": "863-294-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINTER HAVEN HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "CUBERO",
        "authorized_official_first_name": "TAMBLYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGER, CBO FINANCE",
        "authorized_official_telephone_number": "727-281-9257"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "3974",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010169900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC 1500",
            "identifier": "98943",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060611100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC UB",
            "identifier": "507",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD 1500",
            "identifier": "C11283",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060611101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "223",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UB",
            "identifier": "010169903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centers for Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.