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DSH100012C 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
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100012C
Medicare Provider Number
100012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/5/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/9/2009
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
8931 COLONIAL CENTER DRIVE
Suite 200
FORT MYERS, FL 33905
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/08-DOC RECD TO CONFIRM ELIG DSH ADJ%
03/05/2009
June 2025
June 2025
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