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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558788646 | NPPES |
Ohio | Other | 1457474900 | GROUP NPI |
Ohio | MEDICAID | 2223703 | GROUP NPI |
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