NPI Code Details Logo

NPI 1083692594

NPI 1083692594 : ADVENTIST HEALTH SYSTEM-SUNBELT INC : SEBRING, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1083692594
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ADVENTIST HEALTH SYSTEM-SUNBELT INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/04/2006
-----------------------------------------------------
    Last Update Date     |    01/19/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4200 SUN N LAKE BLVD 
-----------------------------------------------------
    City                 |    SEBRING
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33872-1986
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    863-402-3366
-----------------------------------------------------
    Fax                  |    863-402-3110
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4200 SUN N LAKE BLVD 
-----------------------------------------------------
    City                 |    SEBRING
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33872-1986
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    863-402-3366
-----------------------------------------------------
    Fax                  |    863-402-3110
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |    MR. NATHAN  THOMASON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    863-402-3366
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    282N00000X
-----------------------------------------------------
    Taxonomy Name        |    General Acute Care Hospital
-----------------------------------------------------
    License Number       |    4171
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.