Provider Demographics
NPI:1912903014
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:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:POHJALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-226-5163
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:419-226-5020
Mailing Address - Fax:419-998-4510
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:419-226-5020
Practice Address - Fax:419-998-4510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIMA MEMORIAL JOINT OPERATING COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
5349215OtherAETNA
000000293412OtherBLUE CROSS
OH0610137Medicaid
05199V7OtherPARAMOUNT
OH=========007OtherMEDICAL MUTUAL
OH0610137Medicaid
OH=========007OtherMEDICAL MUTUAL