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FQHCLA335W Lee Memorial Health System (Terminated)
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Main Details
Name
Lee Memorial Health System
Subdivision Name
Children's Eye Institute of Golisano Children's Hospital
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-031993
340B ID
FQHCLA335W
Grant Number
LALCS00171
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/6/2022
Last Recertification Date
1/29/2024
Termination Date
Termination Reason
7/1/2024
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
9800 S Healthpark Dr Ste 110
Fort Myers, FL 33908-3630
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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