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DSH100012CE LEE HEALTH SYSTEM, INC. DBA LEE HEALTH (Active)
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Main Details
Name
LEE HEALTH SYSTEM, INC. DBA LEE HEALTH
Subdivision Name
REGIONAL CANCER CENTER AT BHC - Bonita Health Center Outpatient Cancer Treatment
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100012CE
Medicare Provider Number
100012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/1/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/8/2024
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Lee Memorial Health System
Benjamin Spence, CFO
(239) 343-6014
Primary Contact
Lee Memorial Health System
Joseph Bitner, Compliance Officer
(239) 343-8602
Addresses
Street Address
3501 HEALTH CENTER BLVD, STE 1127
ESTERO, FL 34135-8135
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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