Provider Demographics
NPI:1265456933
Name:LIMA PULMONARY AND CRITICAL CARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:LIMA PULMONARY AND CRITICAL CARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOESPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIGBOGU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-227-5864
Mailing Address - Street 1:770 W HIGH ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3990
Mailing Address - Country:US
Mailing Address - Phone:419-227-5864
Mailing Address - Fax:419-222-7581
Practice Address - Street 1:770 W HIGH ST
Practice Address - Street 2:SUITE 420
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3990
Practice Address - Country:US
Practice Address - Phone:419-227-5864
Practice Address - Fax:419-222-7581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0931719Medicaid
OH9262671Medicare PIN