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DSH100012CX LEE HEALTH SYSTEM, INC. DBA LEE HEALTH (Active)
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Main Details
Name
LEE HEALTH SYSTEM, INC. DBA LEE HEALTH
Subdivision Name
PEDS UROLOGY SUMRL HOD - Pediatric Urology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100012CX
Medicare Provider Number
100012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/5/2025
Last Recertification Date
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
16230 SUMMERLIN RD
STE 215
FORT MYERS, FL 33908-5769
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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