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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