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LEE MEMORIAL HEALTH SYSTEM
NPI 1942826623
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL

Active since June 18, 2020
12550 NEW BRITTANY BLVD STE 201, FORT MYERS, FL 33907(239) 343-9190(239) 343-9193 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1942826623), doing business as Lch-addicition Medicine Nb, is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Myers, Florida and active in the NPI registry since June 2020. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1942826623
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address12550 NEW BRITTANY BLVD STE 201Fort Myers, FL 33907-3655
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9190 · Fax (239) 343-9193
Phone(239) 343-9190
Fax(239) 343-9193
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1942826623 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
12550 NEW BRITTANY BLVD STE 201, Fort Myers, FL 33907
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Other Names 1

Doing Business AsLch-addicition Medicine Nb

Other Providers at the Same Location NPPES 3

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

CLIFFORD LEE THACKER MD
Family Medicine (Addiction Medicine)
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907
Lee County (239) 343-9190
ROBERT S LIMBAUGH III M.D.
Internal Medicine (Addiction Medicine)
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907
Lee County (239) 343-9190
DERICK ALLEN DUSTON LMHC
Counselor (Mental Health)
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907
Lee County (239) 343-9180

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 1942826623. It was assigned to this organization in the NPPES registry on June 18, 2020. The provider is doing business as Lch-Addicition Medicine Nb.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907. The listed phone number is (239) 343-9190.

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 June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.