Full Name | |
---|---|
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 715 W North St, Lima, Ohio |
Authorized Official Name and Position | M. Shank (PRESIDENT) |
Authorized Official Contact | 4192271570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
715 W North St Lima OH 45801-3922 Ph: (419) 227-1570 | 715 W North St Lima OH 45801-3922 Ph: (419) 227-1570 |
NPI Number | 1558489062 |
---|---|
Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558489062 | NPI | - | NPPES |
2058053 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 35057234 (Ohio) | Primary |
Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 W High St, Suite 250, Lima, OH 45807 Phone: 419-227-7399 Fax: 419-229-0123 | |
In House Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 W High St, Suite 200, Lima, OH 45801 Phone: 419-229-2622 | |
Mercy Health Physicians Lima Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 W High St Ste 450, Lima, OH 45801 Phone: 419-996-5078 | |