Organization Active NPI

Gulf Coast Healthcare Systems, Inc.

  • Rural Health Clinic/Center
  • Lehigh Acres, FL
National Provider Identifier
1831574490
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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 JonesNPI 1982873493
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.

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Hlthcare Sys (3 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X FL Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.