Provider Demographics
NPI:1730713967
Name:INTERNAL MEDICINE PRIMARY CARE INC
Entity type:Organization
Organization Name:INTERNAL MEDICINE PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-229-3362
Mailing Address - Street 1:920 W MARKET ST STE 210A
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2777
Mailing Address - Country:US
Mailing Address - Phone:419-227-7770
Mailing Address - Fax:419-229-8258
Practice Address - Street 1:920 W MARKET ST STE 210A
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2777
Practice Address - Country:US
Practice Address - Phone:419-227-7770
Practice Address - Fax:419-229-8258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty