Organization · NPI-2

Allen Intensivist Group LLC

Internal Medicine, Critical Care Medicine · Lima, OH

NPI number1811620057

StatusActive

Last updated in NPPESJul 6, 2022

Details

NPI: 1811620057
Entity type: Organization (NPI-2)
Legal business name: Allen Intensivist Group LLC
Organization subpart: No
Enumeration date: Jul 6, 2022
Certification date: Jul 6, 2022
Last updated: Jul 6, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0200X	Internal Medicine, Critical Care Medicine	–	–	Yes
363A00000X	Physician Assistant	–	–
363LC0200X	Nurse Practitioner, Critical Care Medicine	–	–

Practice location

1001 Bellefontaine Ave
Lima, OH 45804-2800

Phone 419-228-3335 · Fax 419-226-5013

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Phone 800-893-9698

Authorized official

Lisha Falk
Vp Of Contracting
3376091221

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