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Lima Memorial Professional Corporation

Organization Active NPI Nephrology Physician · Ottawa, OH

NPI 1508384306 · NPPES record last updated Apr 9, 2022

Key facts

NPI
1508384306
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
Legal business name
LIMA MEMORIAL PROFESSIONAL CORPORATION
Practice address
102 Putnam Pkwy
Ottawa, OH 45875-8657
Phone
(419) 523-9632
Fax
(419) 523-9636
NPI assigned
Sep 1, 2017
Organization subpart
No

Authorized official

Name
Jeffrey Utz
Title
Director of LMP
Phone
(419) 998-4668

Corporate family (same tax ID) 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

National Provider Directory

Tax ID family
Lima Memorial Prof Co (40 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RN0300X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

102 Putnam Pkwy
Ottawa, OH 45875-8657

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Other identifiers

IdentifierTypeStateIssuer
1457474900OtherOHGROUP NPI
2223703MedicaidOH

Other names

  • LMPC Specialists at Ottawa Doing business as
  • Lima Memorial Health System Putnam County Medical Center Doing business as

Other providers in Ottawa, OH

All providers in Ottawa, OH · Nephrology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.