Lima Umadaop | |
311 E Market St Fl 3 Lima OH 45801-4535 | |
(419) 222-4474 | |
(419) 222-7044 |
Full Name | Lima Umadaop |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 311 E Market St Fl 3, Lima, Ohio |
Authorized Official Name and Position | Myrtle Blanche Boykin-lighton (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4192224474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lima Umadaop 311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 | Lima Umadaop 311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 |
NPI Number | 1336780196 |
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Provider Enumeration Date | 10/03/2019 |
Last Update Date | 11/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336780196 | NPI | - | NPPES |
2627661 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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