LEE MEMORIAL HEALTH SYSTEM


Address: 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342
Phone: 9416292922

LEE MEMORIAL HEALTH SYSTEM (NPI# 1902425028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902425028
Entity Type Organization
Organization Name LEE MEMORIAL HEALTH SYSTEM
Practice Address 2525 Harbor Blvd Ste 204
Port Charlotte
FL 33952-5342
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 9416292922
Practice Fax Number 9416291311
Mailing Telephone 9416292922
Mailing Fax Number 9416291311
Enumeration Date 2020-04-09
Last Update Date 2020-04-09
Authorized Official Name JOSEPH NIEBERGALL (CREDENTIALING SPECIALIST)
Authorized Official Telephone 2394241446
Is Organization Subpart N

Taxonomy

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 Provider/Organization Names

Other Name Type Code
LCH-Peds PC#2 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1104455187 Lee Memorial Health System Pharmacy 2776 Cleveland Ave, Fort Myers, FL 33901-5864 2020-04-02

Other Data Sources

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

Office Location

Street Address 2525 HARBOR BLVD STE 204
City PORT CHARLOTTE
State FL
Zip Code 33952-5342

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700486552 Arrow Medical LLC Durable Medical Equipment & Medical Supplies 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 2020-10-30
1376009621 David Alan Mowry Massage Therapist 3148 Whiting Lane, Port Charlotte, FL 33952 2019-02-12
1124527189 Aegis Group Practice, LLC Physical Therapist 2500 Aaron Street, Port Charlotte, FL 33952 2018-02-06
1255856118 All Powered Mobility, LLC Durable Medical Equipment & Medical Supplies 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 2017-08-11
1366994915 Julianne Kumar Physical Medicine & Rehabilitation 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 2016-10-31
1659729549 The Gathering Place LLC Licensed Practical Nurse 3459 Depew Ave, Port Charlotte, FL 33952 2016-06-01
1003222183 Philip Lagamma Physical Therapist 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 2014-07-09
1184039695 Nathan E Shipley Driver 2338 Alton Rd., Port Charlotte, FL 33952 2014-06-23
1619318219 Nic 4 Royal Palm Leasing LLC Assisted Living Facility 2500 Aaron St., Port Charlotte, FL 33952 2013-07-11
1225306475 Tamjo Inc Hearing Instrument Specialist 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 2011-12-02
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164051405 Lee Memorial Health System Clinic/Center 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 2020-04-08
1295145191 Family Health Centers of Southwest Florida, Inc. Clinic/Center 4300 Kings Hwy, Suite 210, Port Charlotte, FL 33980-2917 2014-04-30
1962663211 Family Health Centers of Southwest Florida Inc Clinic/Center 4300 Kings Hwy, Suite 500, Port Charlotte, FL 33980-2917 2008-06-19

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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
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
1477199289 Community Health Centers, Inc. Clinic/Center 509 Cagan View Rd, Clermont, FL 34714-6405 2019-11-27
1396395075 Citrus Health Network Clinic/Center 1645a Sw 107th Ave, Miami, FL 33165-7344 2019-09-16
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Competitor

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City PORT CHARLOTTE
Zip Code 33952

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Dataset Information

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.

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