LODI MEMORIAL HOSPITAL ASSOCIATION INC NPI 1225285695

NPI Information

NPI: 1225285695
Provider Name: LODI MEMORIAL HOSPITAL ASSOCIATION, INC

Doing Business As: LODI MEMORIAL COMMUNITY CLINIC - VINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1235 W VINE ST
SUITE 22
LODI, CA
ZIP 95240
Phone: (209) 334-8520
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LODI MEMORIAL HOSPITAL ASSOCIATION, INC is a primary care clinic center in Lodi, CA. LODI MEMORIAL HOSPITAL ASSOCIATION, INC NPI is 1225285695. The provider is registered as an organization entity type.
The provider Is Doing Business As Lodi Memorial Community Clinic - Vine.

The provider's business location address is:

1235 W VINE ST
SUITE 22
LODI, CA
ZIP 95240-109
Phone: (209) 334-8520
Fax: (209) 339-7659

The provider's authorized official is Jason Whitney .
The authorized official title is Finance Officer and has the following contact phone number (209) 339-7477.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		CALIFORNIA	No
2	261QP2300X	Clinic/Center	Primary Care	550001051	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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