NPIMap

Organization Active NPI

Winter Haven Hospital Inc

Doing business as Winter Haven Hospital

  • Clinical Medical Laboratory
  • Winter Haven, FL
National Provider Identifier
1871187476
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WINTER HAVEN HOSPITAL INC
Doing business as
Winter Haven Hospital
Practice address
200 Avenue F NE
Winter Haven, FL 33881-4131
Phone
(863) 293-1121
NPI assigned
Feb 24, 2021
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WINTER HAVEN HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Lynda Gorken
Title
VP, Patient Financial Services
Phone
(727) 281-9479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

200 Avenue F NE
Winter Haven, FL 33881-4131

Mailing address

2995 Drew Street East BLDG 2ND Floor
Clearwater, FL 33759
Phone (727) 281-9390

Other practice location 1

101 Avenue O SE
Winter Haven, FL 33880-4333
Phone (863) 293-1121

Other identifiers 2

IdentifierTypeStateIssuer
10D0293341OtherFLCLIA
0101699-00MedicaidFL

Other names 1

  • WINTER HAVEN HOSPITAL Doing business as

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
10D0898929Winter Haven Women's Hospital101 Avenue O SE, Winter Haven, FL 33880Certificate of waiverSep 24, 2027
10D0898930Winter Haven Hospital Nursing Services200 Avenue F NE, Winter Haven, FL 33881Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Winter Haven Hospital6 organizations share this tax ID, including this one
Part of
Winter Haven Hospital

Other organizations with this tax ID 5

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

Locations

2000 Osprey Blvd
Ste 204
Bartow, FL 33830

200 Avenue F NE
Fl 1
Winter Haven, FL 33881

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871187476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW STREET EAST BLDG 2ND FLOOR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759",
            "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 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-293-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Avenue O SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804333",
            "country_code": "US",
            "telephone_number": "863-293-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINTER HAVEN HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINTER HAVEN HOSPITAL INC",
        "enumeration_date": "2021-02-24",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "VP, PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "727-281-9479"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0293341",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101699-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINTER HAVEN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.