LEE MEMORIAL HEALTH SYSTEM
NPI 1194307249
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL

Active since April 27, 2021
15901 BASS RD STE 102, FORT MYERS, FL 33908(239) 343-9890(239) 343-9898 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lee Memorial Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE MEMORIAL HEALTH SYSTEM (NPI 1194307249), doing business as Lch-pediatric Nephrology, is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Myers, Florida and active in the NPI registry since April 2021. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1194307249
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address15901 BASS RD STE 102Fort Myers, FL 33908-3838
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9890 · Fax (239) 343-9898
Fax(239) 343-9898
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateApril 27, 2021
NPPES CertifiedMarch 31, 2021
NPI 1194307249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
15901 BASS RD STE 102, Fort Myers, FL 33908

Other Names 1

Doing Business AsLch-pediatric Nephrology

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Endocrinology)
15901 BASS RD STE 102
FORT MYERS, FL 33908
Nurse Practitioner (Family)
15901 BASS RD STE 102
FORT MYERS, FL 33908
Pediatrics (Pediatric Gastroenterology)
15901 BASS RD STE 102
FORT MYERS, FL 33908
Nurse Practitioner (Pediatrics)
15901 BASS RD STE 102
FORT MYERS, FL 33908
Nurse Practitioner (Psychiatric/Mental Health)
15901 BASS RD STE 102
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal)
15901 BASS RD STE 102
FORT MYERS, FL 33908
Psychologist (Family)
15901 BASS RD STE 102
FORT MYERS, FL 33908
Psychologist
15901 BASS RD STE 102
FORT MYERS, FL 33908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1194307249. It was assigned to this organization in the NPPES registry on April 27, 2021. The provider is doing business as LCH-Pediatric Nephrology.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 15901 Bass Rd Ste 102, Fort Myers, FL 33908. The listed phone number is (239) 343-9890.

What is Lee Memorial Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lee Memorial Health System was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.