LCH-PEDS PC#1 – Federally Qualified Health Center (FQHC), NPI 1164051405

LCH-PEDS PC#1 is a healthcare provider. based in Fort myers, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for LCH-PEDS PC#1 is 1164051405

Main info

Organization
Name
LCH-PEDS PC#1
NPI
1164051405
Phone
(941) 625-1999
Address
PO BOX 2147
Authorized Official
JOSEPH NIEBERGALL CREDENTIALING SPECIALIST
Enumeration Date
8 April 2020
Last Update Date
8 April 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for LCH-PEDS PC#1

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (941) 625-1999

    Fax: (941) 625-4600

    Type: Mailing

  • 2484 CARING WAY UNIT F

    PORT CHARLOTTE, FL 339525306

    Phone: (941) 625-1999

    Fax: (941) 625-4600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33902)

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Frequently asked questions

Can I cross-check LCH-PEDS PC#1 using NPI 1164051405?
NPI 1164051405 belongs to LCH-PEDS PC#1; compare other details if you need extra assurance.
Would LCH-PEDS PC#1 appear as active to a payer?
You can treat LCH-PEDS PC#1 as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LCH-PEDS PC#1?
LCH-PEDS PC#1's record emphasizes Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where in Florida is LCH-PEDS PC#1 registered?
Use Fort Myers, Florida as the headline location for LCH-PEDS PC#1 here.
When was this NPI issued?
Enumeration for LCH-PEDS PC#1 is noted as April 8, 2020 where the registry provides it.

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