| Lima Memorial Health System Internal Medicine | |
|
525 N Eastown Rd Ste 102 Lima OH 45807-2268 | |
| (419) 998-8214 | |
| (419) 998-8298 |
| Full Name | Lima Memorial Health System Internal Medicine |
|---|---|
| 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 |
|---|---|
| Lima Memorial Health System Internal Medicine 1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | Lima Memorial Health System Internal Medicine 525 N Eastown Rd Ste 102 Lima OH 45807-2268 Ph: (419) 998-8214 |
| NPI Number | 1871867663 |
|---|---|
| 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 |
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