Provider Demographics
NPI:1578651246
Name:CITY OF LIMA
Entity Type:Organization
Organization Name:CITY OF LIMA
Other - Org Name:LIMA FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-221-5166
Mailing Address - Street 1:L-3328
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-0001
Mailing Address - Country:US
Mailing Address - Phone:419-221-5160
Mailing Address - Fax:
Practice Address - Street 1:433 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-1237
Practice Address - Country:US
Practice Address - Phone:419-221-5160
Practice Address - Fax:419-221-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0203046503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00847479OtherRAILROAD MEDICARE
OH000000638051OtherANTHEM
OH3021983Medicaid
OH9383731Medicare PIN