| Organization Name: | ST. RITA'S MEDICAL CENTER |
| NPI Number: | 1033134390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. LAWRENCE (REVENUE CYLE MANAGER) |
| Mailing Address: | 830 W High St Suite 260 Lima |
| State: | OH US |
| Postal Code: | 458013971 |
| Phone Number: | 4199965033 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | 35047163-W |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |