| Lch- Peds Behavioral Health Gn Bch | |
|
3501 Health Center Blvd Ste 2190 Estero FL 34135-8133 | |
| (239) 343-6050 | |
| (239) 343-6051 |
| Full Name | Lch- Peds Behavioral Health Gn Bch |
|---|---|
| Speciality | Clinic/Center |
| Location | 3501 Health Center Blvd Ste 2190, Estero, Florida |
| Authorized Official Name and Position | Joseph Niebergall (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2394241446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lch- Peds Behavioral Health Gn Bch Po Box 2147 Fort Myers FL 33902-2147 Ph: (239) 343-6050 | Lch- Peds Behavioral Health Gn Bch 3501 Health Center Blvd Ste 2190 Estero FL 34135-8133 Ph: (239) 343-6050 |
| NPI Number | 1851028823 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 8729996608 |
|---|---|
| Medicare Enrollment ID | O20221006003552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851028823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Alliance Healthcare & Wellness,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21401 Corkscrew Village Ln Ste 1, Estero, FL 33928 Phone: 727-309-1412 | |
Coastal Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd, Suite 3, Estero, FL 33928 Phone: 239-498-2528 | |
Estero Eyecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21753 Brixham Run Loop, Estero, FL 33928 Phone: 239-898-8712 | |
Restorative Health And Healing Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10201 Arcos Ave Ste 201, Estero, FL 33928 Phone: 314-239-0173 Fax: 239-948-0179 | |
Coconut Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9911 Corkscrew Rd Ste 200, Estero, FL 33928 Phone: 239-237-5500 Fax: 888-828-5797 | |
J Cole Nutrition Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10600 Chevrolet Way, St 229, Estero, FL 33928 Phone: 562-733-1144 Fax: 239-217-6880 | |
True Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20451 S Tamiami Trl Ste 1, Estero, FL 33928 Phone: 239-357-8462 |