Active NPI
Gulf Coast Healthcare Systems, Inc.
- Rural Health Clinic/Center
- Lehigh Acres, FL
National Provider Identifier
1831574490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- GULF COAST HEALTHCARE SYSTEMS, INC.
- Practice address
- 2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581 - Phone
- (239) 694-9102
- NPI assigned
- Jul 24, 2015
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Rudolph Mickey Jones
- Title
- Ceo
- Phone
- (239) 694-9101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Corporate family (same tax ID) 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Lehigh Acres, FL
- NPI 1134497167
-
- Non-Pharmacy Dispensing Site
- Lehigh Acres, FL
- NPI 1588075071
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lehigh Acres, FL
- NPI 1982873493
National Provider Directory
National Provider Directory- Tax ID family
- Gulf Coast Hlthcare Sys
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581
Mailing address
2718 Lee Blvd Ste B
Lehigh Acres, FL 33971-1537
Phone (239) 694-9102
Other names 1
NPPES NPI Registry- Urgent and Convenient Care Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2025.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1831574490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 LEE BLVD STE B",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711537",
"telephone_number": "239-694-9102"
},
{
"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": "239-694-9102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST HEALTHCARE SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "RUDOLPH",
"authorized_official_middle_name": "MICKEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "239-694-9101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "FL",
"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 Apr 24, 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.