LEE MEMORIAL HEALTH SYSTEM
NPI 1104589258
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL
NPI Status: Active since October 15, 2021
Contact Information
8960 COLONIAL CENTER DR STE 202
FORT MYERS, FL
ZIP 33905
Phone: (239) 343-9646
Fax: (239) 343-9681
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 10D2009757
- CLIA Cert. Type: Other - HOSPITAL OUTPAITENT DEPAR
- CLIA Exp. Date: 09-26-2026
About LEE MEMORIAL HEALTH SYSTEM
This page provides the complete NPI Profile along with additional information for Lee Memorial Health System, a primary care provider established in Fort Myers, Florida operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1104589258 assigned on October 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is James Fores (Credentialing Specialist)
- NPI
- 1104589258
- Provider Name
- LEE MEMORIAL HEALTH SYSTEM
- Entity Type
- Organization
- Location Address
- 8960 COLONIAL CENTER DR STE 202 FORT MYERS, FL 33905
- Location Phone
- (239) 343-9646
- Location Fax
- (239) 343-9681
- Mailing Address
- PO BOX 2147 FORT MYERS, FL 33902
- Mailing Phone
- (239) 424-1500
- Mailing Fax
- (239) 343-9681
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2021
- Last Update Date
- 10-15-2021
- Code Navigator
A primary care provider (PCP) like Lee Memorial Health System sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2009757
- Facility Type
- Other - HOSPITAL OUTPAITENT DEPAR
- Certificate Effective Date
- September 27, 2024
- Certificate Expiration Date
- September 26, 2026
- Laboratory Director
- DR. ZHIPING LIU
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Lee Memorial Health System after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104589258, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
FORT MYERS, FL 33905
FORT MYERS, FL 33905
FORT MYERS, FL 33905
FORT MYERS, FL 33905
FORT MYERS, FL 33905
FORT MYERS, FL 33905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104589258, enumerated as an "organization" on October 15, 2021.
The provider is located at 8960 COLONIAL CENTER DR STE 202 FORT MYERS, FL 33905 and the phone number is (239) 343-9646.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
