# THE MCGREGOR CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104092345
- **Authorized official:** MR. BERT THOMAS HAMMOND (CEO)
- **Authorized official phone:** (239) 334-9555

## Contact information

- **Practice address:** 3487 BROADWAY AVENUE, FORT MYERS, FL 33901-7213
- **Practice address phone:** (239) 334-9555
- **Practice address fax:** (239) 334-2439
- **Mailing address:** 3487 BROADWAY AVENUE, FORT MYERS, FL 33901-7213
- **Mailing address phone:** (239) 334-9555
- **Mailing address fax:** (239) 334-2439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 01/20/2022