Organization · Type 2 NPI

Lodi Memorial Hospital Association, Inc.

Primary Care Clinic/Center · Lodi, CA

NPI number 1023256880 Active

Practice location

2407 W Vine St, Suite A
Lodi, CA 95242-3730

Call (209) 334-3411 Map

Fax (209) 339-7659

Mailing address

PO Box 3004
Lodi, CA 95241-1908

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

Another provider at this address

Adventist Health Physicians NetworkRadiation Oncology Physician Lodi, CA NPI 1861955460

Other primary care clinic/center providers in Lodi

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NPI record

NPI: 1023256880
Entity type: Organization (Type 2)
Issued: Jan 30, 2009
Last updated: Jan 7, 2011
Status: Active
Subpart: Yes of Lodi Memorial Hospital Association, Inc

Other names

<unavail>
Lodi Memorial Community Clinic-Alder · doing business as

Authorized official

Mr. Joseph P Harrington
Cheif Executive Officer & President
(209) 334-3411

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023256880

Lodi Memorial Hospital Association, Inc.'s National Provider Identifier is 1023256880, issued on Jan 30, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lodi, CA. The record was last updated on Jan 7, 2011.