| |
311 E Market St Fl 3 Lima OH 45801-4535 | |
(419) 222-4474 | |
(419) 222-7044 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 311 E Market St Fl 3, Lima, Ohio |
Authorized Official Name and Position | Myrtle B. Boykin-lighton (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4192224474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 | 311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 |
NPI Number | 1629144050 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 11/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629144050 | NPI | - | NPPES |
2627661 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 5004 (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 | |