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1005 Bellefontaine Ave Ste 230 Lima OH 45804-2882 | |
(419) 998-8255 | |
(419) 226-8335 |
Full Name | |
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Speciality | Internal Medicine - Nephrology |
Location | 1005 Bellefontaine Ave Ste 230, 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 |
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1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | 1005 Bellefontaine Ave Ste 230 Lima OH 45804-2882 Ph: (419) 998-8255 |
NPI Number | 1063853414 |
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Provider Enumeration Date | 07/15/2013 |
Last Update Date | 04/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063853414 | NPI | - | NPPES |
2223703 | Medicaid | OH | |
1457474900 | Other | OH | GROUP-NPI |
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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 | |