Island Coast Primary Care Project, Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

ISLAND COAST PRIMARY CARE PROJECT, INC.

Practice address

4150 Ford Street Ext Ste 1B
Fort Myers, FL 33916-9498

Phone

(239) 467-8375

Fax

(239) 461-7639

NPI assigned

Sep 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cathy Jones

Title

Program Administrator

Phone

(239) 461-8375

Specialties & licenses 2

Addresses

Tax ID family

Island Coast Primary Care Project Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Island Coast Primary Care Project, Inc.

  • Primary Care Clinic/Center
  • Fort Myers, FL
  • NPI 1154396372
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen P Arseneault, RN

  • Case Management Registered Nurse
  • Fort Myers, FL
  • NPI 1376798868
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1003198565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 FORD STREET EXT STE 1B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169498",
            "telephone_number": "239-461-8375",
            "fax_number": "239-461-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 FORD STREET EXT STE 1B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169498",
            "telephone_number": "239-467-8375",
            "fax_number": "239-461-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COAST PRIMARY CARE PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "239-461-8375"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saiful Islam, M.D.
• Island Behavioral Health PLLC
• Island Coast Behavioral Health and Therapy LLC
• Island Coast Dermatology, PA
• Island Coast Pediatrics
• Island Coast Primary Care Project, Inc.
• Island Facial Plastic and ENT Surgery, PA
• Island Park Psychiatry LLC
• Island Wellness Clinic
• Laura Michelle Isley, M.D.

• Pediatric Skilled Nursing Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.