LEE MEMORIAL HEALTH SYSTEM (NPI# 1447892773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447892773 |
| Entity Type | Organization |
| Organization Name | LEE MEMORIAL HEALTH SYSTEM |
| Practice Address |
260 Beth Stacey Blvd Lehigh Acres FL 33936-6074 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439888 |
| Practice Fax Number | 2393030714 |
| Mailing Telephone | 2394241479 |
| Mailing Fax Number | 2394241423 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | BENJAMIN SPENCE (CFO) |
| Authorized Official Telephone | 2393436014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LCH- Peds Lehigh | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1114409141 | Lee Memorial Health System | Skilled Nursing Facility | 13960 Plantation Rd, Fort Myers, FL 33912-4303 | 2018-09-06 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1801196266 | Lee Memorial Health System | Pharmacy | 11220 Metro Pkwy Ste 31, Fort Myers, FL 33966-1291 | 2010-11-01 |
| 1942826623 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1407472186 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1285263780 | Lee Memorial Health System | Pharmacy | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-06 |
| 1730718735 | Lee Memorial Health System | Pharmacy | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION | 16451 Healthpark Commons Dr # 2, Fort Myers, FL 33908-9501 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION, INC. | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| Street Address |
260 BETH STACEY BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| 1952688731 | Elena Shinn | Nurse Practitioner | 260 Beth Stacey Blvd, 130, Lehigh Acres, FL 33936-6074 | 2011-11-08 |
| 1811290190 | J Frank Avey Pa | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2010-12-08 |
| 1164748042 | Vandana Patel | Physician Assistant | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936-6074 | 2010-04-16 |
| 1659510261 | Patricia Marlena Cecil | Physician Assistant | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936-6074 | 2009-02-05 |
| 1245487818 | Robert G Strathman Md Pa | Obstetrics & Gynecology | 260 Beth Stacey Blvd, Suite 210, Lehigh Acres, FL 33936-6013 | 2008-08-26 |
| 1548349566 | Robert G Strathman | Obstetrics & Gynecology | 260 Beth Stacey Blvd, Suite 210, Lehigh Acres, FL 33936-6013 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1124027230 | Adrian Michael Danchenko | Internal Medicine | 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936 | 2005-07-20 |
| Find all providers in zip 33936 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184885410 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 5220 Lee Blvd, Bldg. 1, Lehigh Acres, FL 33971-1021 | 2008-06-19 |
| 1750830600 | Lee Memorial Health System | Clinic/Center | 5705 Lee Blvd, Suites 1 & 2, Lehigh Acres, FL 33971-6342 | 2016-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
Please comment or provide details below to improve the information on LEE MEMORIAL HEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.