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institution
Lodi Memorial Hospital Association Inc
Rural Health Clinic/Center in Galt, California
NPI 1164431383

Lodi Memorial Hospital Association Inc is a Rural Health Clinic/Center based in Los Angeles, CA and is specialized in Rural Health. Lodi Memorial Hospital Association Inc practices in Galt, CA. The NPI Number for Lodi Memorial Hospital Association Inc is 1164431383 and holds a License No. (California).

The current practice location address for Lodi Memorial Hospital Association Inc is 387 Civic Dr, Galt, CA and can be reached out via phone at 209-745-8080 and via fax at 209-745-8081.

Location: 387 Civic Dr, Galt, CA, 90088-4577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164431383
Provider Name
Lodi Memorial Hospital Association Inc
Credential
Provider Entity Type
Organization
Address
387 Civic Dr, Galt, CA, 90088-4577
Phone Number
209-745-8080
Fax Number
209-745-8081
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ53360Z 01 CA BLUE SHIELD PROV GRP
RHM18546F 05 CA
institution
Provider Business Practice Location Address Details
Address
387 Civic Dr
City
Galt
State
California
Zip
95632-2059
Phone Number
209-745-8080
Fax Number
209-745-8081
person
Provider Business Mailing Address Details
Address
387 Civic Dr
City
Galt
State
California
Zip
95632-2059
Phone Number
209-745-8080
Fax Number
209-745-8081
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
030000056 (California)
Definition
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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