Active NPI
Lodi Memorial Hospital Association Inc
Doing business as Lodi Memorial Hospital-Transitional Care Unit
- Skilled Nursing Facility
- Lodi, CA
National Provider Identifier
1205879186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030000056
- Legal business name
- LODI MEMORIAL HOSPITAL ASSOCIATION INC
- Doing business as
- Lodi Memorial Hospital-Transitional Care Unit
- Practice address
- 800 S Lower Sacramento Rd
Lodi, CA 95242-3635 - Phone
- (209) 334-3411
- Fax
- (209) 339-7659
- NPI assigned
- Jun 14, 2006
- Last updated
- Dec 21, 2010
- Organization subpart
- Yes
- Parent organization
- LODI MEMORIAL HOSPITAL ASSOCIATION INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph P Harrington
- Title
- Chief Executive Officer
- Phone
- (209) 334-3411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030000056 | CA | Primary |
Addresses
Primary practice location
800 S Lower Sacramento Rd
Lodi, CA 95242-3635
Mailing address
PO Box 3004
Lodi, CA 95241-1908
Phone (209) 334-3411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC70039F | Medicaid | CA | |
| LTC55511F | Medicaid | CA |
Other names 1
- Lodi Memorial Hospital-Transitional Care Unit
National Provider Directory
National Provider Directory- Part of
- Lodi Memorial Hosptial Pharmacy West
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Lodi Memorial Community Clinic - Millsbridge
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1760620330
Member Of
Locations
800 S Lower Sacramento Rd
Lodi, CA 95242
Phone (209) 333-3119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1205879186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3004",
"city": "LODI",
"state": "CA",
"postal_code": "952411908",
"telephone_number": "209-334-3411",
"fax_number": "209-339-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S LOWER SACRAMENTO RD",
"city": "LODI",
"state": "CA",
"postal_code": "952423635",
"telephone_number": "209-334-3411",
"fax_number": "209-339-7659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LODI MEMORIAL HOSPITAL ASSOCIATION INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LODI MEMORIAL HOSPITAL ASSOCIATION INC",
"enumeration_date": "2006-06-14",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "HARRINGTON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "209-334-3411",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "030000056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC70039F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55511F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lodi Memorial Hospital-Transitional Care Unit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lodi, CA
- Lodi Kids Dentist a Professional Dental Corporation (Lodi Kids Dentist A Professional Dental Corporation DBA Lodi Kidz Dentist)
- Lodi Lifestyle Medicine & Surgery, Professional Corporation
- Lodi Memorial Hospital Association Inc (Lodi Health Pharmacy West)
- Lodi Memorial Hospital Association Inc (Lodi Memorial Hospital Home Health Agency)
- Lodi Memorial Hospital Association Inc (Lodi Memorial Urgent Care Clinic)
- Lodi Memorial Hospital Association Inc (Lodi Memorial Primary Care Clinic)
- Lodi Memorial Hospital Association Inc (Lodi Memorial Hospital)
- Lodi Memorial Hospital Association Inc (Lodi Memorial Pediatric Clinic)
- Lodi Memorial Hospital Association Inc (Lodi Memorial Surgical Group)
- Lodi Memorial Hospital Association Inc (Occupational Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.