LAKELAND REGIONAL HEALTH SYSTEMS INC. NPI 1669817144

NPI Information

NPI: 1669817144
Provider Name: LAKELAND REGIONAL HEALTH SYSTEMS, INC.

Other Name: GRASSLANDS CAMPUS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3030 HARDEN BLVD
LAKELAND, FL
ZIP 33803
Phone: (863) 284-5115
Get Directions

LAKELAND REGIONAL HEALTH SYSTEMS, INC. is a multi-specialty clinic center in Lakeland, FL. LAKELAND REGIONAL HEALTH SYSTEMS, INC. NPI is 1669817144. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Grasslands Campus.

The provider's business location address is:

3030 HARDEN BLVD
LAKELAND, FL
ZIP 33803-952
Phone: (863) 284-5115
Fax: (863) 413-4739

The provider's authorized official is Lance Green .
The authorized official title is Vp Cfo and has the following contact phone number (863) 687-1100.

The enumeration date for this NPI number is 5/9/2013 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207Q00000X	Family Medicine			No
2	207R00000X	Internal Medicine			No
3	207RC0200X	Internal Medicine	Critical Care Medicine		No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism		No
5	207RP1001X	Internal Medicine	Pulmonary Disease		No
6	207RR0500X	Internal Medicine	Rheumatology		No
7	207V00000X	Obstetrics & Gynecology			No
8	207XX0005X	Orthopaedic Surgery	Sports Medicine		No
9	207Y00000X	Otolaryngology			No
10	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery		No
11	208000000X	Pediatrics			No
12	2084N0400X	Psychiatry & Neurology	Neurology		No
13	2086S0105X	Surgery	Surgery of the Hand		No
14	208D00000X	General Practice			No
15	261QM1300X	Clinic/Center	Multi-Specialty	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	263421007	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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