LCH-PEDIATRIC NEUROLOGICAL HEALTH – NPI #1124621339
Clinic/Center

LCH-PEDIATRIC NEUROLOGICAL HEALTH is an AHC clinic located in FORT MYERS, FL. NPPES has assigned the NPI number 1124621339 to LCH-PEDIATRIC NEUROLOGICAL HEALTH on November 19, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LCH-PEDIATRIC NEUROLOGICAL HEALTH” is a dba name, the actual legal business name for this organization is LEE MEMORIAL HEALTH SYSTEM. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Jan 18, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LCH-PEDIATRIC NEUROLOGICAL HEALTH below.

NPI Profile for
LEE MEMORIAL HEALTH SYSTEM

NPI Number
1124621339
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEE MEMORIAL HEALTH SYSTEM
Doing Business As (dba): LCH-PEDIATRIC NEUROLOGICAL HEALTH
Primary location
15901 BASS RD STE 108
FORT MYERS, FL 33908-3838
Phone: (239) 343-6050 Fax: (239) 343-6051
Mailing address
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone: (239) 424-1449 Fax: (239) 424-1423
Organization Subpart
No
Authorized Official
JOSEPH NIEBERGALL
CREDENTIALING SPECIALIST
Phone: (239) 424-1446
Updated
Certification Date
Jan 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.