NPIMap

Organization Active NPI

Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

Doing business as Lima UMADAOP

  • Community Health Clinic/Center
  • Lima, OH
National Provider Identifier
1629144050
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
5004 Issued in OH
Legal business name
LIMA-URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM., INC
Doing business as
Lima UMADAOP
Practice address
311 E Market St FL 3
Lima, OH 45801-4535
Phone
(419) 222-4474
Fax
(419) 222-7044
NPI assigned
Nov 28, 2006
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Myrtle B. Boykin-Lighton, CCDC1, OPSII, BANPI 1265815591
Title
Executive Director
Phone
(419) 222-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 5004 OH Primary

Addresses

Primary practice location

311 E Market St FL 3
Lima, OH 45801-4535

Mailing address

311 E Market St FL 3
Lima, OH 45801-4535
Phone (419) 222-4474

Other identifiers 1

IdentifierTypeStateIssuer
2627661MedicaidOH

Other names 1

  • Lima UMADAOP Doing business as

National Provider Directory

National Provider Directory

Locations

416 S Main St
Kenton, OH 43326
Phone (419) 679-1697

311 E Market St
Fl 3
Lima, OH 45801
Phone (419) 222-4474

608 W High St
Lima, OH 45801

Practitioners & affiliated clinicians

Practitioners 114

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 114

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1629144050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST FL 3",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST FL 3",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA-URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "BOYKIN-LIGHTON",
        "authorized_official_first_name": "MYRTLE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-222-4474",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCDC1, OPSII, BA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OH",
            "license": "5004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2627661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lima UMADAOP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lima UMADAOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.