Organization Name: | LODI MEMORIAL HOSPITAL ASSOCIATION, INC. |
NPI Number: | 1023256880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH P HARRINGTON (CHEIF EXECUTIVE OFFICER & PRESIDENT) |
Mailing Address: | 2407 W Vine St Suite A Lodi |
State: | CA US |
Postal Code: | 952423730 |
Phone Number: | 2093343411 |
Fax Number: | 2093397659 |
NPI Enumeration Date: | 01/30/2009 |
NPI Last Update Date: | 01/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |