Adventist Health Lodi Memorial

LBN: Lodi Memorial Hospital Association Inc
Adventist Health Lodi Memorial is an health care organization with primary practice located at 387 Civic Dr , Galt CA 95632-2059. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Lodi Memorial Hospital Association Inc can be contacted via phone (209) 745-8080, or through Whitney, Jason via phone (209) 339-7477.

Contact Information

Primary practice address
387 Civic Dr Galt CA 95632-2059
Fax: (209) 745-8081
Website:
Authorized official contact:
Name: Whitney, Jason

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 030000056 California

Profile Details

NPI number 1164431383
LBN Legal business name Lodi Memorial Hospital Association Inc
DBA Doing business as Adventist Health Lodi Memorial
Authorized official Whitney, Jason
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 5th, 2006
Last updated Apr 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164431383 NPPES
California Other ZZZ53360Z BLUE SHIELD PROV GRP
California MEDICAID RHM18546F BLUE SHIELD PROV GRP

Popular Providers