| Ada Life Medical Center | |
|
520 W Lincoln Ave Ste A Ada OH 45810-9466 | |
| (419) 634-2015 | |
| (419) 634-9420 |
| Full Name | Ada Life Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 520 W Lincoln Ave Ste A, Ada, Ohio |
| Authorized Official Name and Position | Jeffrey Utz (DIRECTOR OF LMP) |
| Authorized Official Contact | 4199984668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Life Medical Center 1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | Ada Life Medical Center 520 W Lincoln Ave Ste A Ada OH 45810-9466 Ph: (419) 634-2015 |
| NPI Number | 1225295835 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 04/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225295835 | NPI | - | NPPES |
| 2223703 | Medicaid | OH | |
| 1457474900 | Other | OH | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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Lima Memorial Specialists At Ada Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Lincoln Ave Ste A, Ada, OH 45810 Phone: 419-224-5915 Fax: 419-224-5918 | |
Gastro-intestinal Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W North Ave, Ada, OH 45810 Phone: 419-227-8209 Fax: 419-227-8224 | |
Mercy Health - Defiance Hospital Family Medicine, Ada Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 W North Ave, Ada, OH 45810 Phone: 419-634-0431 | |
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