NPIMap

Organization Active NPI

Island Coast Primary Care Project, Inc.

  • Primary Care Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1154396372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ISLAND COAST PRIMARY CARE PROJECT, INC.
Practice address
9800 S Healthpark Dr
# 410
Fort Myers, FL 33908-7603
Phone
(239) 433-6760
Fax
(239) 433-6766
NPI assigned
Feb 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cathy A Jones, RNNPI 1124093976
Title
Program Administrator
Phone
(239) 433-6760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9800 S Healthpark Dr
# 410
Fort Myers, FL 33908-7603

Mailing address

9800 S Healthpark Dr
# 410
Fort Myers, FL 33908-7603
Phone (239) 433-6760

National Provider Directory

National Provider Directory
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.

Locations

9800 S Healthpark Dr
Ste 410
Fort Myers, FL 33908
Phone (239) 433-6760

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154396372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S HEALTHPARK DR",
            "address_2": "# 410",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087603",
            "telephone_number": "239-433-6760",
            "fax_number": "239-433-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 S HEALTHPARK DR",
            "address_2": "# 410",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087603",
            "telephone_number": "239-433-6760",
            "fax_number": "239-433-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COAST PRIMARY CARE PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "239-433-6760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.