Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Lima Memorial Health System at Ada Medical Center, Lima Memorial Specialists at Ada, Lima Memorial Health System Heart & Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
520 W LINCOLN AVE STE A, ADA, OH 45810-9466
(419) 224-5915
(419) 224-5918
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
10/21/2016
Last updated
04/09/2022
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