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FQHCLA335F Lee Memorial Health System (Terminated)
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Main Details
Name
Lee Memorial Health System
Subdivision Name
Golisano Pediatrics Port Charlotte Caring Way
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-030599
340B ID
FQHCLA335F
Grant Number
LALCS00171
Additional Details
Current Program Status
Terminated
Registration Date
5/28/2020
Participating Start Date
7/1/2020
Participating Approval Date
6/1/2020
Last Recertification Date
1/31/2022
Termination Date
Termination Reason
4/1/2023
Other
Contacts
Authorizing Official
Lee Community Healthcare
Robert Johns, Executive Director for Lee Community Healthcare
(239) 834-9998
Primary Contact
Lee Health
Joseph Bitner, Compliance Officer
(239) 343-8602
Addresses
Street Address
2484 Caring Way Unit F
Port Charlotte, FL 33952-5306
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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