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Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
Gulf Coast Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GERMAN (CHEIF FINANCIAL OFFICER)
(239) 242-6202
Entity
Organization
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 768-5000
(239) 768-8379
Mailing address
PO BOX 150107, CAPE CORAL, FL 33915-0107
(239) 242-6012
(239) 242-6088
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
'01632553
—
NY
05
—
000897366X
—
GA
01
—
0071695
AETNA
—
05
—
010225300
—
FL
05
—
0150689
—
OH
01
—
030371400
BLACK LUNG
—
05
—
11638B
—
SC
01
—
21066
WELLCARE/STAYWELL
—
01
—
530
HUMANA
FL
Enumeration date
05/19/2006
Last updated
01/25/2010
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