NPIMap

Organization Active NPI

Gulf Coast Healthcare Systems, Inc

Doing business as Urgent and Convenient Care Center

  • Federally Qualified Health Center (FQHC)
  • Lehigh Acres, FL
National Provider Identifier
1134497167
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GULF COAST HEALTHCARE SYSTEMS, INC
Doing business as
Urgent and Convenient Care Center
Practice address
2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581
Phone
(239) 325-1310
Fax
(888) 803-9101
NPI assigned
Dec 5, 2011
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Mickey Jones, DPT
Title
Ceo
Phone
(239) 694-9102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581

Mailing address

2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581
Phone (239) 325-1310

Other names 1

  • Urgent and Convenient Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Healthcare Systems Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

700 S Main St
Labelle, FL 33935
Phone (239) 379-1986

2718 Lee Blvd
Ste C
Lehigh Acres, FL 33971
Phone (239) 303-1501

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1134497167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 5TH ST W STE B",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711581",
            "telephone_number": "239-325-1310",
            "fax_number": "888-803-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 5TH ST W STE B",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711581",
            "telephone_number": "239-325-1310",
            "fax_number": "888-803-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST HEALTHCARE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-694-9102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent and Convenient Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.