Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 855 W Market St, Lima, Ohio |
Authorized Official Name and Position | Jeffrey E. Snodgrass (PRESIDENT) |
Authorized Official Contact | 6156651283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1a Burton Hills Blvd # L&c Nashville TN 37215-6187 Ph: (615) 240-3741 | 855 W Market St Lima OH 45805-2795 Ph: (419) 228-9991 |
NPI Number | 1528035367 |
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Provider Enumeration Date | 03/01/2006 |
Last Update Date | 12/02/2022 |
Medicare PECOS PAC ID | 9436292166 |
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Medicare Enrollment ID | O20100203000768 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528035367 | NPI | - | NPPES |
2077765 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | 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 | |