NPIMap

Organization Active NPI

Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lake Wales, FL
National Provider Identifier
1992316285
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL FLORIDA HEALTH CARE, INC.
Practice address
225 Lincoln Ave
Lake Wales, FL 33853-3546
Phone
(866) 234-8534
NPI assigned
Aug 11, 2020
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL FLORIDA HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Ann Claussen
Title
Ceo
Phone
(863) 291-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

225 Lincoln Ave
Lake Wales, FL 33853-3546

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000228 FL Part B Supplier - Clinic/Group Practice 0143127951 Receives reassigned benefits from 157 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakeland, FL; Winter Haven, FL; Wauchula, FL; Mulberry, FL; Lake Wales, FL; Avon Park, FL; Davenport, FL; Dundee, FL…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992316285. Details of each certification follow.

  • CCN 681180 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 681180

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CENTRAL FLORIDA HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 23, 2020
Last certification
Jul 23, 2020
Ownership / control type
For profit – partnership
Facility address
225 Lincoln Avenue
Lake Wales, FL 33853

Other NPIs on the same Medicare enrollment 20

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

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Health Care Inc87 organizations share this tax ID, including this one
Part of
Central Florida Health Care Inc

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1992316285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LINCOLN AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533546",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA HEALTH CARE, INC.",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "CLAUSSEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-291-5110"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

Verify at the official NPI Registry.