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CAPE MEMORIAL HOSPITAL, INC
DSH100012 LEE HEALTH SYSTEM, INC. DBA LEE HEALTH
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Covered Entity Details
Entity Name
LEE HEALTH SYSTEM, INC. DBA LEE HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100012
Entity Address
2776 CLEVELAND AVENUE
FORT MYERS, FL 33901
Medicare Provider Number
100012
Participating Start Date
1/1/2009
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
CAPE MEMORIAL HOSPITAL, INC
Pharmacy Address
DBA: CAPE CORAL HOSPITAL
636 DEL PRADO BLVD S
ATTN: PHARMACY DEPT
CAPE CORAL, FL 33990
Pharmacy Comments
Contract Details
Approval Date
7/1/2009
Contract Begin Date
7/1/2009
Carve-In Effective Date
Contract Comments
11/6/09 UPDATED PHARMACY NAME PER LETTER FROM HOSPITAL CFO (WAS LEE MEMORIAL HEALTH SYSTEM HEALTH PLAN PHARMACY)
Contract Termination Date
Termination Reason
3/24/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/13/2009
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