| Lima Memorial Professional Corporation | |
|
610 E Kiracofe Ave Elida OH 45807-1034 | |
| (419) 331-0443 | |
| (419) 331-3137 |
| Full Name | Lima Memorial Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 610 E Kiracofe Ave, Elida, Ohio |
| Authorized Official Name and Position | Jeffrey Utz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4199984668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima Memorial Professional Corporation 1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 226-5018 | Lima Memorial Professional Corporation 610 E Kiracofe Ave Elida OH 45807-1034 Ph: (419) 331-0443 |
| NPI Number | 1194402644 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194402644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
James T Bowlus Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 E Kiracofe Ave, Elida, OH 45807 Phone: 419-331-0443 Fax: 419-331-3137 |