MEDICARE: ADVENTIST HEALTH SYSTEM -SUNBELT INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1659245884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH SYSTEM -SUNBELT INC

Provider Business Mailing Address
First Line	:	PO BOX 540419
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32854-0419
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 N HANCOCK RD
Second Line	:
City	:	MINNEOLA
State	:	FL
Zip	:	34715-8184
Country	:	US
Telephone Number	:	407-614-0650
Fax Number	:

Authorized Official
Title or Position	:	QUALITY AND COMPLIANCE COORDINATOR
Name	:	KELLY HARTSFIELD
Credential	:
Telephone Number	:	321-689-6300

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/03/2025

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