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ISLAND COAST PRIMARY CARE PROJECT INC. NPI 1003198565


NPI Information

NPI: 1003198565
Provider Name: ISLAND COAST PRIMARY CARE PROJECT, INC.
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
4150 FORD STREET EXT STE 1B
FORT MYERS, FL
ZIP 33916
Phone: (239) 467-8375
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ISLAND COAST PRIMARY CARE PROJECT, INC. is a nursing care and pediatric skilled nursing facility in Fort Myers, FL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. ISLAND COAST PRIMARY CARE PROJECT, INC. NPI is 1003198565. The provider is registered as an organization entity type.

The provider's business location address is:

4150 FORD STREET EXT STE 1B
FORT MYERS, FL
ZIP 33916-498
Phone: (239) 467-8375
Fax: (239) 461-7639

The provider's authorized official is Cathy Jones .
The authorized official title is Program Administrator and has the following contact phone number (239) 461-8375.

The enumeration date for this NPI number is 9/12/2011 and was last updated on 9/12/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
23140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

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: 11/14/2023

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