Lake Wales Hospital Corporation

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

4007 Issued in FL

Legal business name

LAKE WALES HOSPITAL CORPORATION

Doing business as

Lake Wales Medical Center

Practice address

410 S 11TH St
Lake Wales, FL 33853-4203

Phone

(863) 676-1433

Fax

(863) 676-9323

NPI assigned

Nov 5, 2014

Last updated

Oct 6, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKE WALES HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Paula M Lalor

Title

Director/Delegated Official

Phone

(615) 925-4565

Specialties & licenses 1

Addresses

Other names 1

• LAKE WALES MEDICAL CENTER Doing business as

Part of

Lake Wales Hospital Cor

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lake Wales Hospital Corporation

  dba Lake Wales Medical Center

  • General Acute Care Hospital
  • Lake Wales, FL
  • NPI 1033180195
  NPPES parent name

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1841696762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534203",
            "telephone_number": "863-676-1433",
            "fax_number": "863-676-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534203",
            "telephone_number": "863-676-1433",
            "fax_number": "863-676-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WALES HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE WALES HOSPITAL CORPORATION",
        "enumeration_date": "2014-11-05",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "FL",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE WALES MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Wales Dental Associates
• Lake Wales Emergency Physicians, LLC
• Lake Wales Foot and Ankle Care, Inc
• Lake Wales Healthcare LLC (Grace Healthcare of Lake Wales)
• Lake Wales Hospital Corporation (Lake Wales Medical Center)
• Lake Wales Medial Center
• Lake Wales Medical Imaging Center One, Inc
• Lake Wales Medical Walk in Clinic PA
• Lake Wales Operating Group LLC
• Lake Wales Physician Services, LLC

• Psychiatric Hospital Unit in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Psychiatric Hospital Unit in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.