MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC NPI 1053088302

NPI Information

NPI: 1053088302
Provider Name: MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 36D0662376

Address:
770 W HIGH ST STE 450
LIMA, OH
ZIP 45801
Phone: (419) 996-5078
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MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC is a multi-specialty clinic center in Lima, OH. MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC NPI is 1053088302. The provider is registered as an organization entity type.

The provider's business location address is:

770 W HIGH ST STE 450
LIMA, OH
ZIP 45801-962
Phone: (419) 996-5078

The provider's authorized official is Wilbur Gay .
The authorized official title is Cfo, Medical Group and has the following contact phone number (864) 255-1904.

The CLIA number assigned to this NPI record is 36D0662376 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 8/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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