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DSH100012G LEE HEALTH SYSTEM, INC. DBA LEE HEALTH (Active)
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Main Details
Name
LEE HEALTH SYSTEM, INC. DBA LEE HEALTH
Subdivision Name
THE OUTPATIENT CENTER AT HEALTHPARK COMMONS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100012G
Medicare Provider Number
100012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/17/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/15/2017
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
16281 Bass Road
Suite 300 (Pain Management)
Fort Myers, FL 33908
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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