Provider Demographics
NPI:1457458986
Name:ADVENTIST HEALTH SYSTEM-SUNBELT INC
Entity Type:Organization
Organization Name:ADVENTIST HEALTH SYSTEM-SUNBELT INC
Other - Org Name:ADVENTHEALTH WAUCHULA-SWING BED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-402-3366
Mailing Address - Street 1:4200 SUN N LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-1986
Mailing Address - Country:US
Mailing Address - Phone:863-402-3366
Mailing Address - Fax:863-402-3110
Practice Address - Street 1:735 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-3158
Practice Address - Country:US
Practice Address - Phone:863-773-3101
Practice Address - Fax:863-773-0126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4239282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010260100Medicaid
FL308621OtherFEDERAL BLACK LUNG
FL524OtherBLUE CROSS/BLUE SHIELD
FLL5NOtherBLUE CROSS BLUE SHIELD
FL010260100OtherMEDIPASS
FL21310OtherHEALTHEASE
FL522OtherBLUE CROSS/BLUE SHIELD
FL21310OtherHEALTHEASE
FL308621OtherFEDERAL BLACK LUNG