Organization
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL)
(909) 235-4307
Entity
Organization
Contact information
Practice address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
(239) 368-4510
Mailing address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
(239) 368-4510
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010111700
—
FL
Enumeration date
09/24/2015
Last updated
02/07/2024
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