Organization 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
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030000056 Issued in CA
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LODI MEMORIAL HOSPITAL ASSOCIATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LTC70039FMedicaidCA
LTC55511FMedicaidCA

Other names 1

  • Lodi Memorial Hospital-Transitional Care Unit Doing business as

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.

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

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.

Verify at the official NPI Registry.