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LIMA MEMORIAL PROFESSIONAL CORPORATION NPI 1194235572


NPI Information

NPI: 1194235572
Provider Name: LIMA MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: LIMA MEMORIAL HEALTH SYSTEM MERCER COUNTY MEDICAL CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 36D2138457

Address:
800 PRO DR
CELINA, OH
ZIP 45822
Phone: (419) 998-8293
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LIMA MEMORIAL PROFESSIONAL CORPORATION is a cardiovascular disease internal medicine in Celina, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LIMA MEMORIAL PROFESSIONAL CORPORATION NPI is 1194235572. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lima Memorial Health System Mercer County Medical Center.

The provider's business location address is:

800 PRO DR
CELINA, OH
ZIP 45822-360
Phone: (419) 998-8293
Fax: (419) 998-8294

The provider's authorized official is Jeffrey Utz .
The authorized official title is Director Of Lmp and has the following contact phone number (419) 998-4668.

The CLIA number assigned to this NPI record is 36D2138457 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2017 and was last updated on 4/9/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RN0300XInternal MedicineNephrologyNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
6367A00000XAdvanced Practice MidwifeNo
7207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12223703MEDICAIDOHIO
21457474900OTHEROHIOGROUP NPI

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

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