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LEE MEMORIAL HEALTH SYSTEM NPI 1619512803


NPI Information

NPI: 1619512803
Provider Name: LEE MEMORIAL HEALTH SYSTEM

Doing Business As: LCH- PEDS LHCP

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
23450 VIA COCONUT PT
ESTERO, FL
ZIP 34135
Phone: (239) 468-0150
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LEE MEMORIAL HEALTH SYSTEM is a federally qualified health center (fqhc) clinic center in Estero, FL. LEE MEMORIAL HEALTH SYSTEM NPI is 1619512803. The provider is registered as an organization entity type.
The provider Is Doing Business As Lch- Peds Lhcp.

The provider's business location address is:

23450 VIA COCONUT PT
ESTERO, FL
ZIP 34135-877
Phone: (239) 468-0150
Fax: (239) 343-4056

The provider's authorized official is Joseph Niebergall .
The authorized official title is Credentialing Specialist and has the following contact phone number (239) 424-1446.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 3/27/2020.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.