City of Lake Wales

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CITY OF LAKE WALES

Practice address

1001 Burns Ave
Lake Wales, FL 33853-2621

Phone

(863) 678-4182

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Amy Garnello

Title

Recreation Division Manager

Phone

(863) 678-4182

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1528821865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BURNS AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338532621",
            "telephone_number": "863-678-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BURNS AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338532621",
            "telephone_number": "863-678-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAKE WALES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "GARNELLO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "RECREATION DIVISION MANAGER",
        "authorized_official_telephone_number": "863-678-4182"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sai Krishna Mohan Cherukuri
• Maria Fernanda Chirivella, DMD
• Richard Christman Jr., MPAS PAC
• Michelle Christy
• Armando Manuel Cid, DMD
• Clear Choice Dermatology
• Christine M Clifton, PHARMD
• CMB-1 Retailer LLC
• Cogent Healthcare of Pensacola LLC
• Luris Coll Rivera, MSW, LCSW

• Community Health Clinic/Center in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.