Lodi Memorial Urgent Care Clinic

LBN: Lodi Memorial Hospital Association Inc
Lodi Memorial Urgent Care Clinic is an health care organization with primary practice located at 1235 W Vine St Ste 20 , Lodi CA 95240-5109. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Lodi Memorial Hospital Association Inc can be contacted via phone (209) 339-7625, or through Harrington, Joseph P via phone (209) 334-3411.

Contact Information

Primary practice address
1235 W Vine St Ste 20 Lodi CA 95240-5109
Phone: (209) 339-7625
Fax: (209) 339-7659
Website:
Map and Directions
Authorized official contact:
Name: Harrington, Joseph P
Phone: (209) 334-3411

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 030000056 California
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 030000056 California

Profile Details

NPI number 1194735886
LBN Legal business name Lodi Memorial Hospital Association Inc
DBA Doing business as Lodi Memorial Urgent Care Clinic
Authorized official Harrington, Joseph P
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 8th, 2006
Last updated Dec 21st, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194735886 NPPES
California MEDICAID GR0086833
California Other ZZZ53356Z

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