Organization · Type 2 NPI

Lodi Memorial Hospital Association Inc

Rural Health Clinic/Center · Galt, CA

NPI number 1164431383 Active

Practice location

387 Civic Dr
Galt, CA 95632-2059

Call (209) 745-8080 Map

Fax (209) 745-8081

Mailing address

PO Box 884577
Los Angeles, CA 90088-4577

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	030000056 (CA)

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

NPI record

NPI: 1164431383
Entity type: Organization (Type 2)
Issued: Aug 5, 2006
Last updated: Apr 1, 2022
Status: Active
Subpart: Yes of Lodi Memorial Hospital Association Inc

Other names

<unavail>
Ah Medical Office Galt · doing business as
Adventist Health Lodi Memorial · doing business as
Lodi Health Physicians Galt Family and Specialty Care · doing business as

Authorized official

Jason Whitney
Finance Officer
(209) 339-7477

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 1164431383

Lodi Memorial Hospital Association Inc's National Provider Identifier is 1164431383, issued on Aug 5, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Galt, CA. The record was last updated on Apr 1, 2022.