Provider Type Icon

LIMA MEMORIAL PROFESSIONAL CORPORATION NPI 1306393541


NPI Information

NPI: 1306393541
Provider Name: LIMA MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: LIMA MEMORIAL HEALTH SYSTEM SPECIALTY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 36D2118589

Address:
140 FOX RD STE 103 1/2
VAN WERT, OH
ZIP 45891
Phone: (419) 232-6700
Get Directions

LIMA MEMORIAL PROFESSIONAL CORPORATION is a nephrology internal medicine in Van Wert, OH. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. LIMA MEMORIAL PROFESSIONAL CORPORATION NPI is 1306393541. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lima Memorial Health System Specialty Care.

The provider's business location address is:

140 FOX RD STE 103 1/2
VAN WERT, OH
ZIP 45891-400
Phone: (419) 232-6700
Fax: (419) 998-4586

The provider's authorized official is Jeff Utz .
The authorized official title is Director Of Lmp and has the following contact phone number (419) 998-4668.

The CLIA number assigned to this NPI record is 36D2118589 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2016 and was last updated on 4/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RH0003XInternal MedicineHematology & OncologyNo
3207Y00000XOtolaryngologyNo
4208800000XUrologyNo
5208C00000XColon & Rectal SurgeryNo
6363A00000XPhysician AssistantNo
7207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11457474900OTHEROHIOGROUP NPI
22223703MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.