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

Similar Providers

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

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
1 NPI 1033487418
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name WINTER HAVEN HOSPITAL
5 Provider First Line Business Practice Location Address 1201 FIRST STREET S.
6 Provider Second Line Business Practice Location Address SWEET CENTER
7 Provider Business Practice Location Address City Name WINTER HAVEN
8 Provider Business Practice Location Address State Name FL
9 Provider Business Practice Location Address Postal Code 33880
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 8632947056
12 Provider Business Practice Location Address Fax Number 8632916753
13 Provider Enumeration Date 12/13/2011
14 Last Update Date 12/13/2011
15 Authorized Official Last Name OLES
16 Authorized Official First Name JENNIFER
17 Authorized Official Middle Name ANN
18 Authorized Official Title or Position MENTAL HEALTH THEARAPIST
19 Authorized Official Telephone Number 8634095023
20 Healthcare Provider Taxonomy Code 1 282N00000X
21 Provider License Number 1 L1726685
22 Provider License Number State Code 1 MI
23 Healthcare Provider Primary Taxonomy Switch 1 N
24 Healthcare Provider Taxonomy Code 2 282N00000X
25 Provider License Number 2 PSW 836
26 Provider License Number State Code 2 FL
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

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This page was last updated on: 8/12/2014
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