MEDICARE: LIMA MEMORIAL JOINT OPERATING COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273Y00000X	Rehabilitation Hospital Unit		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	PARAMOUNT	OTHER	05199
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	AETNA	OTHER	0021501
4	BLUE CROSS	OTHER	000000174124

General Provider Information

NPI Number	:	1205831112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMA MEMORIAL JOINT OPERATING COMPANY

Provider Business Mailing Address
First Line	:	1001 BELLEFONTAINE AVE
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-2800
Country	:	US
Telephone Number	:	419-226-5165
Fax Number	:	419-226-5128

Provider Business Practice Location Address
First Line	:	1001 BELLEFONTAINE AVE
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-2800
Country	:	US
Telephone Number	:	419-226-5165
Fax Number	:	419-226-5128

Authorized Official
Title or Position	:	CFO
Name	:	TIMOTHY A BUIT
Credential	:
Telephone Number	:	419-226-5163

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/11/2024

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Directions to “LIMA MEMORIAL JOINT OPERATING COMPANY ” Practice Location

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