| Lodi Community Care Center | |
|
225 Elyria St Lodi OH 44254-1031 | |
| (330) 948-5533 | |
| (330) 948-2726 |
| Full Name | Lodi Community Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 225 Elyria St, Lodi, Ohio |
| Authorized Official Name and Position | Thomas Whelan (PRESIDENT) |
| Authorized Official Contact | 3309485500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lodi Community Care Center 225 Elyria St Lodi OH 44254-1031 Ph: (330) 948-5533 | Lodi Community Care Center 225 Elyria St Lodi OH 44254-1031 Ph: (330) 948-5533 |
| NPI Number | 1003849910 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 09/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003849910 | NPI | - | NPPES |
| 1801807870 | Other | OH | LODI COMMUNITY HOSPITAL TYPE 2 NPI # |
| 2396081 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Lodi Community Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Elyria St, Lodi, OH 44254 Phone: 330-948-5502 Fax: 330-948-3645 | |
Lodi Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Highland Dr, Lodi, OH 44254 Phone: 330-948-1555 Fax: 330-948-2676 |