Provider Demographics
NPI:1093998601
Name:NCH HEALTHCARE SYSTEMS INC
Entity Type:Organization
Organization Name:NCH HEALTHCARE SYSTEMS INC
Other - Org Name:NAPLES COMMUNITY HOSPITAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-513-7179
Mailing Address - Street 1:350 7TH STREET N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5754
Mailing Address - Country:US
Mailing Address - Phone:239-463-5000
Mailing Address - Fax:239-513-7079
Practice Address - Street 1:350 7TH STREET N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5754
Practice Address - Country:US
Practice Address - Phone:239-463-5000
Practice Address - Fax:239-513-7079
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAPLES COMMUNITY HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-06
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4113103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00275OtherBLUE SHIELD
FL00275Medicare PIN