LEE MEMORIAL HEALTH SYSTEM
NPI 1164051405
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Charlotte, FL

NPI Status: Active since April 08, 2020

Contact Information

2484 CARING WAY UNIT F
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 625-1999
Fax: (941) 625-4600

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

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 Port Charlotte, Florida operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1164051405 assigned on April 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Joseph Niebergall (Credentialing Specialist)

NPI
1164051405
Provider Name
LEE MEMORIAL HEALTH SYSTEM
Entity Type
Organization
Location Address
2484 CARING WAY UNIT F PORT CHARLOTTE, FL 33952
Location Phone
(941) 625-1999
Location Fax
(941) 625-4600
Mailing Address
PO BOX 2147 FORT MYERS, FL 33902
Mailing Phone
(941) 625-1999
Mailing Fax
(941) 625-4600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-08-2020
Last Update Date
04-08-2020
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2026) - HMO
  • AvMed Entrust Bronze 650 (2026) - HMO
  • AvMed Entrust Expanded Bronze Standard (2026) - HMO
  • AvMed Entrust Gold 125 (2026) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
  • AvMed Entrust Gold Standard (2026) - HMO
  • AvMed Entrust Platinum 25 (2026) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
  • AvMed Entrust Platinum Standard (2026) - HMO
  • AvMed Entrust Silver 350 (2026) - HMO
  • AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver 550 (2026) - HMO
  • AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver Standard (2026) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH NIEBERGALL

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(239) 424-1446

Reviews for LEE MEMORIAL HEALTH SYSTEM

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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 1164051405, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 0 → 0 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 0 + 5 + 2 + 4 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164051405.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
2484 CARING WAY UNIT F
PORT CHARLOTTE, FL 33952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164051405, enumerated as an "organization" on April 08, 2020.

The provider is located at 2484 CARING WAY UNIT F PORT CHARLOTTE, FL 33952 and the phone number is (941) 625-1999.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.