LICKING MEMORIAL HEALTH SYSTEM NPI 1184174682

NPI Information

NPI: 1184174682
Provider Name: LICKING MEMORIAL HEALTH SYSTEM
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 36D2043631

Address:
1320 W MAIN ST
NEWARK, OH
ZIP 43055
Phone: (220) 564-1898
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LICKING MEMORIAL HEALTH SYSTEM is a health service clinic center in Newark, OH. LICKING MEMORIAL HEALTH SYSTEM NPI is 1184174682. The provider is registered as an organization entity type.

The provider's business location address is:

1320 W MAIN ST
NEWARK, OH
ZIP 43055-822
Phone: (220) 564-1898
Fax: (220) 564-1899

The provider's authorized official is Jason Edward Sturgeon .
The authorized official title is Medication Therapy Clinic Manager and has the following contact phone number (220) 564-1898.

The CLIA number assigned to this NPI record is 36D2043631 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 10/7/2016.

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	261QH0100X	Clinic/Center	Health Service	03325440	OHIO	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: 4/28/2024

NPI Synchronization or Removal

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