Provider Demographics
NPI:1598181810
Name:LIMA MEMORIAL JOINT OPERATING COMPANY
Entity Type:Organization
Organization Name:LIMA MEMORIAL JOINT OPERATING COMPANY
Other - Org Name:LIMA MEMORIAL HEALTH SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-221-5122
Mailing Address - Street 1:1001 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2800
Mailing Address - Country:US
Mailing Address - Phone:419-221-6142
Mailing Address - Fax:419-221-6152
Practice Address - Street 1:1001 BELLEFONTAINE AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2800
Practice Address - Country:US
Practice Address - Phone:419-221-6142
Practice Address - Fax:419-221-6152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIMA MEMORIAL JOINT OPERATING COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1336144731282N00000X
OH0223865503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy