| Lodi Community Care Center | |
|
221 Elyria St Lodi OH 44254-1000 | |
| (330) 948-5502 | |
| (330) 948-3645 |
| Full Name | Lodi Community Care Center |
|---|---|
| Speciality | General Practice |
| Location | 221 Elyria St, Lodi, Ohio |
| Authorized Official Name and Position | Cynthia Lynn Dennison (CONTROLLER) |
| Authorized Official Contact | 3309485502 |
| 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) 948-5502 | Lodi Community Care Center 221 Elyria St Lodi OH 44254-1000 Ph: (330) 948-5502 |
| NPI Number | 1801052204 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801052204 | NPI | - | NPPES |
| 2132758 | Medicaid | OH | |
| 2214305 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Lodi Community Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Elyria St, Lodi, OH 44254 Phone: 330-948-5533 Fax: 330-948-2726 | |
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 |