| Lodi Memorial Urgent Care Clinic | |
|
1235 W Vine St Ste 20 Lodi CA 95240-5109 | |
| (209) 339-7625 | |
| (209) 339-7659 |
| Full Name | Lodi Memorial Urgent Care Clinic |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 1235 W Vine St Ste 20, Lodi, California |
| Authorized Official Name and Position | Joseph P Harrington (CEO CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2093343411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lodi Memorial Urgent Care Clinic Po Box 3004 Lodi CA 95241-1908 Ph: (209) 334-3411 | Lodi Memorial Urgent Care Clinic 1235 W Vine St Ste 20 Lodi CA 95240-5109 Ph: (209) 339-7625 |
| NPI Number | 1194735886 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194735886 | NPI | - | NPPES |
| GR0086833 | Medicaid | CA | |
| ZZZ53356Z | Other | CA | BLUE SHIELD PROV GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 030000056 (California) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 030000056 (California) | Primary |
Lodi Memorial Community Clinic-alder Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659 | |
Lodi Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990 | |
James S. Hoff, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521 | |
Cmc, Lodi Vine Family Care, Suite 105 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121 | |
Fairmont Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001 | |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400 |