Lee Memorial Health System

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LEE MEMORIAL HEALTH SYSTEM

Practice address

5225 Clayton CT
Fort Myers, FL 33907-2117

Phone

(239) 343-8240

Fax

(239) 468-7906

NPI assigned

Aug 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Niebergall

Title

Credentialing Specialist

Phone

(239) 424-1446

Specialties & licenses 1

Addresses

Other names 2

• LCH FM Clayton Crt Doing business as
• LCH- Family Practice Clayton Court Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1841073129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-9240",
            "fax_number": "239-468-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CLAYTON CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072117",
            "telephone_number": "239-343-8240",
            "fax_number": "239-468-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEMORIAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "NIEBERGALL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "239-424-1446"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCH FM Clayton Crt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LCH- Family Practice Clayton Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System

• Federally Qualified Health Center (FQHC) in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.