LODI MEMORIAL HOSPITAL ASSOCIATION INC (NPI# 1881603009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881603009 |
| Entity Type | Organization |
| Organization Name | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
| Other Organization Name | HAM LANE CLINIC |
| Practice Address |
845 S Fairmont Ave Ste 8 Lodi CA 95240-5113 |
| Mailing Address |
Po Box 3004 Lodi CA 95241-1908 |
| Practice Telephone | 2093397625 |
| Mailing Telephone | 2093343411 |
| Mailing Fax Number | 2093397659 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | JOSEPH P HARRINGTON (CEO CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2093343411 |
| Is Organization Subpart | Y |
| Parent Organization Name | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 030000056 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BS PROVIDER GRP NUMBER | ZZZ62129Z | 01 |
| CA | GR0086834 | 05 |
| Other Name | Type Code |
|---|---|
| Ham Lane Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750391710 | Lodi Memorial Hospital Association Inc | Clinic/Center | 305 Preston Ave, Ione, CA 95640 | 2006-08-09 |
| 1194735886 | Lodi Memorial Hospital Association Inc | Clinic/Center | 1235 W Vine St Ste 20, Lodi, CA 95240-5109 | 2006-08-08 |
| 1386654077 | Lodi Memorial Hospital Association Inc | Clinic/Center | 2415 W Vine St Ste 100, Lodi, CA 95242-3731 | 2006-08-08 |
| 1164431383 | Lodi Memorial Hospital Association Inc | Clinic/Center | 387 Civic Dr, Galt, CA 95632-2059 | 2006-08-05 |
| 1306855523 | Lodi Memorial Hospital Association Inc | Clinic/Center | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2006-08-05 |
| 1043257041 | Lodi Memorial Hospital Association Inc | Home Health | 800 S Lower Sacramento Rd, Lodi, CA 95242-3635 | 2006-05-31 |
| 1316938301 | Lodi Memorial Hospital Association Inc | General Acute Care Hospital | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2005-10-31 |
| 1396018727 | Lodi Memorial Hospital Association Inc | Clinic/Center | 999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100 | 2012-02-15 |
| 1629081377 | Lodi Memorial Hospital Association Inc | Clinic/Center | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-08-14 |
| 1811907512 | Lodi Memorial Hospital Association Inc | General Acute Care Hospital | 2415 W Vine St, Suite 103, Lodi, CA 95242-3731 | 2006-08-08 |
| Street Address |
845 S FAIRMONT AVE STE 8 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437177755 | Valerie J. Kidd | Family Medicine | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-07-17 |
| 1629081377 | Lodi Memorial Hospital Association Inc | Clinic/Center | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-08-14 |
| 1821000480 | John P. Connolly | Internal Medicine | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194735886 | Lodi Memorial Hospital Association Inc | Clinic/Center | 1235 W Vine St Ste 20, Lodi, CA 95240-5109 | 2006-08-08 |
| 1386654077 | Lodi Memorial Hospital Association Inc | Clinic/Center | 2415 W Vine St Ste 100, Lodi, CA 95242-3731 | 2006-08-08 |
| 1861818239 | Lampa Medical, Inc. | Clinic/Center | 1930 Tienda Dr, Suite 204, Lodi, CA 95242-3933 | 2014-03-10 |
| 1396018727 | Lodi Memorial Hospital Association Inc | Clinic/Center | 999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100 | 2012-02-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.