| Lima Memorial Professional Corporation | |
|
602 W Redskin Trl Wapakoneta OH 45895-9349 | |
| (419) 738-5151 | |
| (419) 941-1092 |
| Full Name | Lima Memorial Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 602 W Redskin Trl, Wapakoneta, Ohio |
| Authorized Official Name and Position | Jeffrey Utz (DIRECTOR OF LMP) |
| Authorized Official Contact | 4199984668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima Memorial Professional Corporation 1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | Lima Memorial Professional Corporation 602 W Redskin Trl Wapakoneta OH 45895-9349 Ph: (419) 738-5151 |
| NPI Number | 1598719817 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 04/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598719817 | NPI | - | NPPES |
| 2223703 | Medicaid | OH | |
| 1457474900 | Other | OH | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mathew M. Jose, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 S Blackhoof St, Wapakoneta, OH 45895 Phone: 419-738-3317 Fax: 419-738-5952 | |
Deron Horman, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 S Blackhoof St, Wapakoneta, OH 45895 Phone: 419-738-3317 Fax: 419-738-5952 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 N Blackhoof St, Wapakoneta, OH 45895 Phone: 866-808-6005 | |
Auglaize Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-941-1368 |