Provider Demographics
NPI:1538668116
Name:LEE COUNTY MEDICAL CENTER,LLC
Entity Type:Organization
Organization Name:LEE COUNTY MEDICAL CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILIPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-260-7948
Mailing Address - Street 1:127 HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24277-2853
Mailing Address - Country:US
Mailing Address - Phone:843-260-7948
Mailing Address - Fax:252-231-8059
Practice Address - Street 1:127 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:PENNINGTON GAP
Practice Address - State:VA
Practice Address - Zip Code:24277-2853
Practice Address - Country:US
Practice Address - Phone:843-260-7948
Practice Address - Fax:252-231-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural