Northland Family Practice
LBN: Lima Memorial Professional Corporation
Northland Family Practice is an health care organization with primary practice located at 240 W Northern Ave Ste 3 , Lima OH 45801-2839. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lima Memorial Professional Corporation can be contacted via phone (419) 998-8265, or through Utz, Jeffrey via phone (419) 998-4668.
Contact Information
Primary practice address
240 W Northern Ave Ste 3
Lima OH 45801-2839
Phone: (419) 998-8265
Fax: (419) 222-9057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1669758793 |
|---|---|
| LBN Legal business name | Lima Memorial Professional Corporation |
| DBA Doing business as | Northland Family Practice |
| Authorized official | Utz, Jeffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2011 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669758793 | NPPES |
| Ohio | Other | 1457474900 | NPI |
| Ohio | MEDICAID | 2223703 | NPI |
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