Healthcare Provider Details

I. General information

NPI: 1578651246
Provider Name (Legal Business Name): CITY OF LIMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 S MAIN ST
LIMA OH
45804-1237
US

IV. Provider business mailing address

L-3328
COLUMBUS OH
43260-0001
US

V. Phone/Fax

Practice location:
  • Phone: 419-221-5160
  • Fax: 419-221-5154
Mailing address:
  • Phone: 419-221-5160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number020304650
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierP00847479
Identifier TypeOTHER
Identifier State
Identifier IssuerRAILROAD MEDICARE
# 2
Identifier000000638051
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerANTHEM
# 3
Identifier3021983
Identifier TypeMEDICAID
Identifier StateOH
Identifier Issuer

VIII. Authorized Official

Name: BRIAN STEWART
Title or Position: DEPUTY FIRE CHIEF
Credential:
Phone: 419-221-5166