WINTER HAVEN HOSPITAL - NPI NUMBER 1033487418

Summary

Provider Name: WINTER HAVEN HOSPITAL

NPI Number: 1033487418

Clasification: General Acute Care Hospital (282N00000X)

Address:
1201 FIRST STREET S.
SWEET CENTER
WINTER HAVEN, FL
ZIP 33880

Phone Number: (863) 294-7056



Detailed Information

WINTER HAVEN HOSPITAL is a general acute care hospital in Winter Haven, FL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. The assigned NPI number for this provider is 1033487418 and is registered as an organization entity type.

The provider's business address is:

1201 FIRST STREET S.
SWEET CENTER
WINTER HAVEN, FL
ZIP 33880
Phone: (863) 294-7056
Fax: (863) 291-6753

The provider's authorized official is Jennifer Ann Oles .
The authorized official title is Mental Health Thearapist and has the following contact phone number (863) 409-5023.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 282N00000X General Acute Care Hospital L1726685 MI No
2 282N00000X General Acute Care Hospital PSW 836 FL Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1033487418 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name WINTER HAVEN HOSPITAL The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 1201 FIRST STREET S. The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address SWEET CENTER The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name WINTER HAVEN The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name FL The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address Postal Code 33880 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Telephone Number 8632947056 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 8632916753 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 12/13/2011 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 12/13/2011 The date that a record was last updated or changed.
15 Authorized Official Last Name OLES The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name JENNIFER The first name of the authorized official.
17 Authorized Official Middle Name ANN The middle name of the authorized official.
18 Authorized Official Title or Position MENTAL HEALTH THEARAPIST The title or position of the authorized official.
19 Authorized Official Telephone Number 8634095023 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 282N00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Provider License Number 1 L1726685 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
22 Provider License Number State Code 1 MI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 1 N
24 Healthcare Provider Taxonomy Code 2 282N00000X
25 Provider License Number 2 PSW 836 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
26 Provider License Number State Code 2 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
27 Healthcare Provider Primary Taxonomy Switch 2 Y
28 Is Organization Subpart N
29 Authorized Official Name Prefix Text MS.
30 Authorized Official Credential Text LMSW MI AND PSW FL

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1407917057 WINTER HAVEN HOSPITAL Organization General Acute Care Hospital
1477599975 WINTER HAVEN HOSPITAL INC Organization General Acute Care Hospital


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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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