Organization · Type 2 NPI

Lodi Memorial Hospital Association Inc

Urgent Care Clinic/Center · Lodi, CA

NPI number 1194735886 Active

Practice location

1235 W Vine St Ste 20
Lodi, CA 95240-5109

Call (209) 339-7625 Map

Fax (209) 339-7659

Mailing address

PO Box 3004
Lodi, CA 95241-1908

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	030000056 (CA)
Urgent Care Clinic/Center Primary	261QU0200X	030000056 (CA)

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

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NPI record

NPI: 1194735886
Entity type: Organization (Type 2)
Issued: Aug 8, 2006
Last updated: Dec 21, 2010
Status: Active
Subpart: Yes of Lodi Memorial Hospital Association Inc

Other names

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Lodi Memorial Urgent Care Clinic · doing business as

Authorized official

Joseph P Harrington
CEO Chief Executive Officer
(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 1194735886

Lodi Memorial Hospital Association Inc's National Provider Identifier is 1194735886, issued on Aug 8, 2006. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Lodi, CA. The record was last updated on Dec 21, 2010.