Indian Lake Medical Center

LBN: Lima Memorial Professional Corporation
Indian Lake Medical Center is an health care organization with primary practice located at 322 E Main St , Russells Point OH 43348-9601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lima Memorial Professional Corporation can be contacted via phone (937) 842-2318, or through Utz, Jeffrey via phone (419) 998-4668.

Contact Information

Primary practice address
322 E Main St Russells Point OH 43348-9601
Phone: (937) 842-2318
Fax: (937) 842-2414
Website:
Map and Directions
Authorized official contact:
Name: Utz, Jeffrey
Phone: (419) 998-4668

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1558788646
LBN Legal business name Lima Memorial Professional Corporation
DBA Doing business as Indian Lake Medical Center
Authorized official Utz, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2014
Last updated Apr 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558788646 NPPES
Ohio Other 1457474900 GROUP NPI
Ohio MEDICAID 2223703 GROUP NPI

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