NPIMap

Organization Active NPI

Lee Memorial Health System

Doing business as Child Hospital Care Ctr

  • Medically Fragile Infants and Children Day Care
  • Fort Myers, FL
National Provider Identifier
1841496460
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
LEE MEMORIAL HEALTH SYSTEM
Doing business as
Child Hospital Care Ctr
Practice address
9800 S Healthpark Dr
Suite 205
Fort Myers, FL 33908-7603
Phone
(239) 985-3580
Fax
(239) 985-3589
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Kathy Bridge-Liles
Title
Administrator
Phone
(239) 985-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X Primary

Addresses

Primary practice location

9800 S Healthpark Dr
Suite 205
Fort Myers, FL 33908-7603

Mailing address

9800 S Healthpark Dr
Suite 205
Fort Myers, FL 33908-7603
Phone (239) 985-3580

Other identifiers 1

IdentifierTypeStateIssuer
883750301MedicaidFL

Other names 1

  • Child Hospital Care Ctr Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Phys of Lee M13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

9800 S Healthpark Dr
Ste 205
Fort Myers, FL 33908
Phone (239) 343-7130

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1841496460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S HEALTHPARK DR",
            "address_2": "SUITE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087603",
            "telephone_number": "239-985-3580",
            "fax_number": "239-985-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 S HEALTHPARK DR",
            "address_2": "SUITE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087603",
            "telephone_number": "239-985-3580",
            "fax_number": "239-985-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEMORIAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BRIDGE-LILES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-985-3580"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883750301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Hospital Care Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2008; 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.