| Adventhealth Lake Wales | |
|
410 S 11th St Lake Wales FL 33853-4203 | |
| (863) 676-1433 | |
| (863) 297-1867 |
| Full Name | Adventhealth Lake Wales |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 410 S 11th St, Lake Wales, Florida |
| Authorized Official Name and Position | Alan Justin Hengesbach (CFO) |
| Authorized Official Contact | 8634192260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Lake Wales 410 S 11th St Lake Wales FL 33853-4203 Ph: (863) 676-1433 | Adventhealth Lake Wales 410 S 11th St Lake Wales FL 33853-4203 Ph: (863) 676-1433 |
| NPI Number | 1053972760 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 5092045369 |
|---|---|
| Medicare Enrollment ID | O20190930001761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053972760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
Adventhealth Lake Wales Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 Fax: 863-297-1867 | |
Victory Ridge Academy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Burns Ave, Lake Wales, FL 33853 Phone: 863-679-3338 Fax: 863-679-3944 | |
Kris Fitzgerald, Lmhc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Brookshire Dr, Lake Wales, FL 33898 Phone: 863-241-2785 | |
Webb Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 343 W Central Ave Ste 105-3, Lake Wales, FL 33853 Phone: 863-978-8092 Fax: 863-546-6157 | |
Justin Hoffman Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 Walk In Water Rd, Lake Wales, FL 33898 Phone: 095-430-9255 | |
Lake Wales Charter Schools Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Central Ave, Lake Wales, FL 33853 Phone: 863-604-1615 |