NPIMap

Organization Active NPI

Lee Memorial Health System

Doing business as Gulf Coast Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
National Provider Identifier
1669426458
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LEE MEMORIAL HEALTH SYSTEM
Doing business as
Gulf Coast Hospital
Practice address
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone
(239) 768-5000
Fax
(239) 768-8379
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Mike German
Title
Cheif Financial Officer
Phone
(239) 242-6202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

13681 Doctors Way
Fort Myers, FL 33912-4300

Mailing address

PO Box 150107
Cape Coral, FL 33915-0107
Phone (239) 242-6012

Other identifiers 9

IdentifierTypeStateIssuer
000897366XMedicaidGA
21066OtherWELLCARE/STAYWELL
0150689MedicaidOH
'01632553MedicaidNY
010225300MedicaidFL
030371400OtherBLACK LUNG
11638BMedicaidSC
530OtherFLHUMANA
0071695OtherAETNA

Other names 1

  • Gulf Coast Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 100279

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GULF COAST HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Sep 30, 2007
Provider type (POS)
Hospital – Short-term
Participating since
Dec 20, 1990
Last certification
Sep 18, 1991
Beds
120
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2006 (1 total)
Facility address
13681 Doctors Way
Fort Myers, FL 33912

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1669426458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150107",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339150107",
            "telephone_number": "239-242-6012",
            "fax_number": "239-242-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 DOCTORS WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124300",
            "telephone_number": "239-768-5000",
            "fax_number": "239-768-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEMORIAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "GERMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "239-242-6202"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000897366X",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE/STAYWELL",
            "identifier": "21066",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150689",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "'01632553",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010225300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "030371400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11638B",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "530",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0071695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.