LEE MEMORIAL HEALTH SYSTEM NPI 1770365181

NPI Information

NPI: 1770365181
Provider Name: LEE MEMORIAL HEALTH SYSTEM

Doing Business As: LCH- LABELLE INTERNAL MEDICINE OFFICE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
930 S MAIN ST STE C
LABELLE, FL
ZIP 33935
Phone: (863) 674-5520
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LEE MEMORIAL HEALTH SYSTEM is a federally qualified health center (fqhc) clinic center in Labelle, FL. LEE MEMORIAL HEALTH SYSTEM NPI is 1770365181. The provider is registered as an organization entity type.
The provider Is Doing Business As Lch- Labelle Internal Medicine Office.

The provider's business location address is:

930 S MAIN ST STE C
LABELLE, FL
ZIP 33935-448
Phone: (863) 674-5520
Fax: (863) 674-5521

The provider's authorized official is Joseph Niebergall .
The authorized official title is Credentialing Specialist and has the following contact phone number (239) 424-1446.

The CLIA number assigned to this NPI record is 10D0944970 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2023 and was last updated on 2/22/2024.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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

NPI Synchronization or Removal

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