Organization · Type 2 NPI

Lodi Memorial Hospital Association Inc

Clinic/Center · Lodi, CA

NPI number 1811907512 Active

Practice location

2415 W Vine St, Suite 103
Lodi, CA 95242-3731

Call (209) 333-3030 Map

Fax (209) 339-7659

Mailing address

PO Box 884577
Los Angeles, CA 90088-4577

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	030000056 (CA)
General Acute Care Hospital	282N00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

8 other providers at this address

Other clinic/center providers in Lodi

See all in Lodi →

NPI record

NPI: 1811907512
Entity type: Organization (Type 2)
Issued: Aug 8, 2006
Last updated: Jan 6, 2022
Status: Active
Subpart: Yes of Lodi Memorial Hospital Association Inc

Other names

<unavail>
Lodi Memorial Hospital Ob Clinic · doing business as
Lodi Memorial Hospital Ob Clinic · 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.

Is this your record? How to update it.

About NPI 1811907512

Lodi Memorial Hospital Association Inc's National Provider Identifier is 1811907512, issued on Aug 8, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lodi, CA. The record was last updated on Jan 6, 2022.