Provider Demographics
NPI:1306938071
Name:ADVENTIST HEALTH SYSTEM-SUNBELT, INC
Entity type:Organization
Organization Name:ADVENTIST HEALTH SYSTEM-SUNBELT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-303-7667
Mailing Address - Street 1:595 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-6843
Mailing Address - Country:US
Mailing Address - Phone:407-303-0500
Mailing Address - Fax:407-200-4977
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-303-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X, 261QE0700X, 291U00000X, 3416A0800X
FL4369273R00000X, 273Y00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No3416L0300XTransportation ServicesAmbulanceLand Transport
No261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
No291U00000XLaboratoriesClinical Medical Laboratory
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10129001Medicaid
FL10129004Medicaid
FL10129010Medicaid
5006066OtherUNITED BEHAVIORAL
FL10129004Medicaid
FL10129010Medicaid
FL10S007Medicare Oscar/Certification
FL100007Medicare Oscar/Certification
FL105759Medicare Oscar/Certification
5006066OtherUNITED BEHAVIORAL
=========086OtherCHAMPUS
FL10129010Medicaid
FL10129004Medicaid
=========036OtherCHAMPUS
FL10S007Medicare Oscar/Certification
FL100007Medicare Oscar/Certification
=========030OtherCHAMPUS
=========028OtherCHAMPUS
=========029OtherCHAMPUS
=========033OtherCHAMPUS