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INDIAN LAKE MEDICAL CENTER
NPI 1558788646
Family Medicine in Russells Point, OH

Active since March 26, 2014
322 E MAIN ST, RUSSELLS POINT, OH 43348(937) 842-2318(937) 842-2414 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2022, Sep 24, 2020, Mar 8, 2019 and 2 more (5 updates tracked since 2017).

About Indian Lake Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN LAKE MEDICAL CENTER (NPI 1558788646) is a healthcare organization registered as a family medicine in Russells Point, Ohio and active in the NPI registry since March 2014. The organization lists Jeffrey Utz, Director Of Lmp, as its authorized official.

NPPES Registry Identity

NPI1558788646
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIMA MEMORIAL PROFESSIONAL CORPORATION
Location Address322 E MAIN STRussells Point, OH 43348-9601
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586
Phone(937) 842-2318
Fax(937) 842-2414
Organization SubpartNo
Authorized OfficialJeffrey UtzDirector Of Lmp · (419) 998-4668
Enumeration DateMarch 26, 2014
Last NPPES UpdateApril 9, 20225 updates tracked since enumeration
NPPES CertifiedApril 9, 2022
✔ NPI 1558788646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
322 E MAIN ST, Russells Point, OH 43348
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Other Names 2

Doing Business AsIndian Lake Medical Center
Doing Business AsLima Memorial Health System Indian Lake Medical Center

Other Identifiers 2

Other1457474900OH · Group Npi
Medicaid2223703OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA WESTBROOK FNP-C, RN
Nurse Practitioner
322 E MAIN ST
RUSSELLS POINT, OH 43348
Logan County (937) 842-2318
TRACY ANN SELHORST CNP
Nurse Practitioner (Family)
322 E MAIN ST
RUSSELLS POINT, OH 43348
Logan County (937) 842-2318
KERRI GERDING CNP
Nurse Practitioner (Family)
322 E MAIN ST
RUSSELLS POINT, OH 43348
Logan County (937) 842-2318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lima Memorial Professional Corporation's NPI number?

The NPI number for Lima Memorial Professional Corporation is 1558788646. It was assigned to this organization in the NPPES registry on March 26, 2014. The provider is doing business as Indian Lake Medical Center and Lima Memorial Health System Indian Lake Medical Center.

Where is Lima Memorial Professional Corporation located?

Lima Memorial Professional Corporation is located at 322 E Main St, Russells Point, OH 43348. The listed phone number is (937) 842-2318.

What is Lima Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lima Memorial Professional Corporation was last updated on April 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.