Hanna Family Practice | |
1005 Bellefontaine Ave Ste 340 Lima OH 45804-2876 | |
(419) 227-3077 | |
(419) 224-1667 |
Full Name | Hanna Family Practice |
---|---|
Speciality | Family Medicine |
Location | 1005 Bellefontaine Ave Ste 340, Lima, Ohio |
Authorized Official Name and Position | Jeffrey Utz (DIRECTOR OF LMP) |
Authorized Official Contact | 4199984668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hanna Family Practice 1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | Hanna Family Practice 1005 Bellefontaine Ave Ste 340 Lima OH 45804-2876 Ph: (419) 227-3077 |
NPI Number | 1407154925 |
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Provider Enumeration Date | 03/08/2011 |
Last Update Date | 04/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407154925 | NPI | - | NPPES |
1457474900 | Other | OH | NPI |
2223703 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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