# LODI MEMORIAL HOSPITAL ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LODI MEMORIAL HOSPITAL ASSOCIATION INC
- **Other names:** Adventist Health Lodi Memorial, AH Medical Office Galt, Lodi Health Physicians Galt Family and Specialty Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164431383
- **Legal business name:** LODI MEMORIAL HOSPITAL ASSOCIATION INC
- **Authorized official:** JASON WHITNEY (FINANCE OFFICER)
- **Authorized official phone:** (209) 339-7477

## Contact information

- **Practice address:** 387 CIVIC DR, GALT, CA 95632-2059
- **Practice address phone:** (209) 745-8080
- **Practice address fax:** (209) 745-8081
- **Mailing address:** PO BOX 884577, LOS ANGELES, CA 90088-4577
- **Mailing address phone:** (209) 334-3411
- **Mailing address fax:** (209) 339-7659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | 030000056 | CA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 04/01/2022