Provider Demographics
NPI:1396413076
Name:ADVENTIST HEALTH SYSTEM SUNBELT INC.
Entity type:Organization
Organization Name:ADVENTIST HEALTH SYSTEM SUNBELT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-402-3366
Mailing Address - Street 1:ADVENTHEALTH MANAGED CARE
Mailing Address - Street 2:900 HOPE WAY
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-1502
Mailing Address - Country:US
Mailing Address - Phone:407-357-1927
Mailing Address - Fax:407-357-1679
Practice Address - Street 1:201 US 27 S
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:FL
Practice Address - Zip Code:33852-7904
Practice Address - Country:US
Practice Address - Phone:863-465-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVENTIST HEALTH SYSTEM SUNBELT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-30
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care