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Contact Information

LOST CREEK HOLDING, LLC
2750 N THAYER RD
LIMA, OH45801-8796
 Phone: 419-230-5446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for LOST CREEK HOLDING, LLC

NPI Number 1174935324
LBN Legal business name LOST CREEK HOLDING, LLC
Authorized official DIANE TOMLINSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2014
Last updated 07/10/2017 - About 9 years ago
Identifiers
OH License # 31-5060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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