ADVENTHEALTH CENTRA CARE - LEESBURG – NPI #1386035269
Clinic/Center

ADVENTHEALTH CENTRA CARE - LEESBURG is an AHC clinic located in LEESBURG, FL. NPPES has assigned the NPI number 1386035269 to ADVENTHEALTH CENTRA CARE - LEESBURG on February 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTHEALTH CENTRA CARE - LEESBURG” is a dba name, the actual legal business name for this organization is ADVENTIST HEALTH SYSTEM/SUNBELT, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Apr 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVENTHEALTH CENTRA CARE - LEESBURG below.

NPI Profile for
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

NPI Number
1386035269
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Doing Business As (dba): ADVENTHEALTH CENTRA CARE - LEESBURG
Primary location
1103 N 14TH STREET
LEESBURG, FL 34748
Phone: (352) 314-2328 Fax: (352) 314-3058
Mailing address
2600 WESTHALL LANE BOX 300
MAITLAND, FL 32751
Phone: (407) 200-2300 Fax: (407) 200-1353
Organization Subpart
Yes - ADVENTHEALTH CENTRA CARE - LEESBURG is subpart of another organization.
Authorized Official
SCOTT BRADY
PRESIDENT/CEO
Phone: (407) 200-2300
Updated
Certification Date
Apr 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVENTHEALTH CENTRA CARE - LEESBURG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSFLB90R0
medicaidFL013961716
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
363LF0000X
- Nurse Practitioner / Family
363A00000X
- Physician Assistant
208000000X
- Pediatrics
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.