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Lodi Memorial Hospital Association Inc
Urgent Care Clinic/Center in Lodi, California
NPI 1194735886

Lodi Memorial Hospital Association Inc is a Urgent Care Clinic/Center based in Lodi, CA and is specialized in Urgent Care. Lodi Memorial Hospital Association Inc practices in Lodi, CA. The NPI Number for Lodi Memorial Hospital Association Inc is 1194735886 and holds a License No. 030000056 (California).

The current practice location address for Lodi Memorial Hospital Association Inc is 1235 W Vine St Ste 20, Lodi, CA and can be reached out via phone at 209-339-7625 and via fax at 209-339-7659.

Location: 1235 W Vine St Ste 20, Lodi, CA, 95241-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194735886
Provider Name
Lodi Memorial Hospital Association Inc
Credential
Provider Entity Type
Organization
Address
1235 W Vine St Ste 20, Lodi, CA, 95241-1908
Phone Number
209-339-7625
Fax Number
209-339-7659
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0086833 05 CA
ZZZ53356Z 01 CA BLUE SHIELD PROV GRP
institution
Provider Business Practice Location Address Details
Address
1235 W Vine St Ste 20
City
Lodi
State
California
Zip
95240-5109
Phone Number
209-339-7625
Fax Number
209-339-7659
person
Provider Business Mailing Address Details
Address
1235 W Vine St Ste 20
City
Lodi
State
California
Zip
95240-5109
Phone Number
209-339-7625
Fax Number
209-339-7659
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
Urgent Care
Taxonomy
261QU0200X
License No.
030000056 (California)
Definition
Definition to come...
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