Healthcare Provider Details

I. General information

NPI: 1033211180
Provider Name (Legal Business Name): ADVENTIST HEALTH SYSTEM-SUNBELT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 US 27 N
LAKE PLACID FL
33852-7948
US

IV. Provider business mailing address

4200 SUN N LAKE BLVD
SEBRING FL
33872-1986
US

V. Phone/Fax

Practice location:
  • Phone: 863-465-3777
  • Fax: 863-699-4339
Mailing address:
  • Phone: 863-402-3366
  • Fax: 863-402-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number4171
License Number StateFL

VIII. Authorized Official

Name: NATHAN THOMASON
Title or Position: CFO
Credential:
Phone: 863-402-3366