MEDICARE: ADVENTIST HEALTH SYSTEM-SUNBELT, INC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	273Y00000X	Rehabilitation Hospital Unit	4369	FL
3	291U00000X	Clinical Medical Laboratory
4	273R00000X	Psychiatric Hospital Unit	4369	FL
5	3416A0800X	Air Ambulance
6	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
7	282N00000X	General Acute Care Hospital	4369	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5006066	OTHER	UNITED BEHAVIORAL

NPI Number	:	1306938071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH SYSTEM-SUNBELT, INC

Provider Business Mailing Address
First Line	:	595 MONTGOMERY RD
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-6843
Country	:	US
Telephone Number	:	407-303-0500
Fax Number	:	407-200-4977

Provider Business Practice Location Address
First Line	:	601 E ROLLINS ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1248
Country	:	US
Telephone Number	:	407-303-5600
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. KENT JOHNSON
Credential	:
Telephone Number	:	407-492-4807

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	10/20/2025

601 E ROLLINS STREET
ORLANDO, FL
32803-1248

Practice Phone: 407-303-7283
Practice Fax: 321-843-5550