LEE MEMORIAL HEALTH SYSTEM – NPI #1396471884
Clinic/Center

LEE MEMORIAL HEALTH SYSTEM is an AHC clinic located in FORT MYERS, FL. NPPES has assigned the NPI number 1396471884 to LEE MEMORIAL HEALTH SYSTEM on July 27, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEE MEMORIAL HEALTH SYSTEM below.

NPI Profile for
LEE MEMORIAL HEALTH SYSTEM

NPI Number
1396471884
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEE MEMORIAL HEALTH SYSTEM
Primary location
2780 CLEVELAND AVE STE 809
FORT MYERS, FL 33901-5817
Phone: (239) 343-9680 Fax: (239) 343-4178
Mailing address
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone: (239) 343-9680 Fax: (239) 343-4178
Organization Subpart
No
Authorized Official
JOSEPH NIEBERGALL
CREDENTIALING SPECIALIST
Phone: (239) 424-1446
Updated
Certification Date
Jul 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.