Organization
WINTER HAVEN HOSPITAL INC
Active
Other names
WH Centers for Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP PATIENT FINANCIAL SERVICES)
(727) 281-9202
Entity
Organization
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
(863) 294-7064
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
(727) 281-9065
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
07/29/2021
Last updated
07/29/2021
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