LEE MEMORIAL HEALTH SYSTEM NPI 1013559343

NPI Information

  • NPI: 1013559343
  • Provider Name: LEE MEMORIAL HEALTH SYSTEM
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: LCH- PEDS PAGE FIELD
  • Address: 4751 S CLEVELAND AVE
    FORT MYERS, FL
    ZIP 33907
  • Phone: (239) 343-9888

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NPI Details

LEE MEMORIAL HEALTH SYSTEM is a federally qualified health center (fqhc) clinic center in Fort Myers, FL. LEE MEMORIAL HEALTH SYSTEM NPI is 1013559343. The provider is registered as an organization entity type.
The provider Is Doing Business As Lch- Peds Page Field.

The provider's business location address is:

4751 S CLEVELAND AVE
FORT MYERS, FL
ZIP 33907-317
Phone: (239) 343-9888
Fax: (239) 343-9968

The provider's authorized official is Benjamin Spence .
The authorized official title is Cfo and has the following contact phone number (239) 343-6014.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 2/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1014789114MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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