GULF COAST HEALTHCARE SYSTEMS INC NPI 1134497167

NPI Information

NPI: 1134497167
Provider Name: GULF COAST HEALTHCARE SYSTEMS, INC

Doing Business As: URGENT AND CONVENIENT CARE CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
700 S MAIN ST
LABELLE, FL
ZIP 33935
Phone: (239) 325-1310
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GULF COAST HEALTHCARE SYSTEMS, INC is a rural health clinic center in Labelle, FL. GULF COAST HEALTHCARE SYSTEMS, INC NPI is 1134497167. The provider is registered as an organization entity type.
The provider Is Doing Business As Urgent And Convenient Care Center.

The provider's business location address is:

700 S MAIN ST
LABELLE, FL
ZIP 33935-440
Phone: (239) 325-1310
Fax: (888) 803-9101

The provider's authorized official is Rudolph Mickey Jones .
The authorized official title is Ceo and has the following contact phone number (239) 325-1310.

The CLIA number assigned to this NPI record is 10D2132906 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 6/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health		FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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