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LIMA MEMORIAL PROFESSIONAL CORPORATION NPI 1225295835


NPI Information

NPI: 1225295835
Provider Name: LIMA MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: ADA LIFE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0984437

Address:
520 W LINCOLN AVE STE A
ADA, OH
ZIP 45810
Phone: (419) 634-2015
Get Directions

LIMA MEMORIAL PROFESSIONAL CORPORATION is a family medicine in Ada, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIMA MEMORIAL PROFESSIONAL CORPORATION NPI is 1225295835. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ada Life Medical Center.

The provider's business location address is:

520 W LINCOLN AVE STE A
ADA, OH
ZIP 45810-466
Phone: (419) 634-2015
Fax: (419) 634-9420

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 36D0984437 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2008 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
1363L00000XNurse PractitionerNo
2207Q00000XFamily MedicineOHIOYes

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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