LCH- PEDS LHCP
NPI 1619512803
Clinic/Center - Federally Qualified Health Center (FQHC) in Estero, FL

Q: What is Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1619512803. It was assigned to this organization in the NPPES registry on November 12, 2019. The provider is doing business as Lch- Peds Lhcp.

Q: What is Lee Memorial Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 12, 2019

23450 VIA COCONUT PT, ESTERO, FL 34135(239) 468-0150(239) 343-4056 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2020, Dec 10, 2019, Nov 12, 2019 (3 updates tracked since 2019).

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About Lch- Peds Lhcp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LCH- PEDS LHCP (NPI 1619512803) is a healthcare organization registered as a federally qualified health center (fqhc) in Estero, Florida and active in the NPI registry since November 2019. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1619512803

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLEE MEMORIAL HEALTH SYSTEM

Location Address23450 VIA COCONUT PTEstero, FL 34135-1877

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 468-0150 · Fax (239) 343-4056

Phone(239) 468-0150

Fax(239) 343-4056

Organization SubpartNo

Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446

Enumeration DateNovember 12, 2019

Last NPPES UpdateMarch 27, 20203 updates tracked since enumeration

NPPES CertifiedMarch 27, 2020

✔ NPI 1619512803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

23450 VIA COCONUT PT, Estero, FL 34135

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Other Names 1

Doing Business AsLch- Peds Lhcp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY A DZEN DO

Internal Medicine