- Enrollment id
- O20241218001994
- Enrollment state
- FL
- Provider type code
- 00-09
- Provider type text
- PART A PROVIDER - HOSPITAL
- Npi
- 1427806025
- Multiple npi flag
- N
- Ccn
- 100012
- Associate id
- 9335672146
- Organization name
- LEE HEALTH SYSTEM INC
- Doing business as name
- LEE MEMORIAL HOSPITAL
- Incorporation date
- 2024-04-08
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2776 CLEVELAND AVE
- City
- FORT MYERS
- State
- FL
- Zip code
- 339015864
- Practice location type
- MAIN/PRIMARY HOSPITAL LOCATION
- Subgroup - general
- Y
- Subgroup - acute care
- Y
- Subgroup - alcohol drug
- N
- Subgroup - childrens
- N
- Subgroup - long-term
- N
- Subgroup - psychiatric
- N
- Subgroup - rehabilitation
- N
- Subgroup - short-term
- N
- Subgroup - swing-bed approved
- N
- Subgroup - psychiatric unit
- N
- Subgroup - rehabilitation unit
- N
- Subgroup - specialty hospital
- N
- Subgroup - other
- N
- Reh conversion flag
- N