| |
525 N Eastown Rd Ste 102 Lima OH 45807-2268 | |
(419) 998-8214 | |
(419) 998-8298 |
Full Name | |
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Speciality | Internal Medicine |
Location | 525 N Eastown Rd Ste 102, Lima, Ohio |
Authorized Official Name and Position | Jeff 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 | 525 N Eastown Rd Ste 102 Lima OH 45807-2268 Ph: (419) 998-8214 |
NPI Number | 1871867663 |
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Provider Enumeration Date | 02/27/2012 |
Last Update Date | 11/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871867663 | NPI | - | NPPES |
2223703 | Medicaid | OH | |
1457474900 | Other | OH | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (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 | |