Organization
LODI COMMUNITY CARE CENTER
Active
Parent organization
LODI COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LODI COMMUNITY HOSPITAL
Authorized official
MR. THOMAS WHELAN (PRESIDENT)
(330) 948-5500
Entity
Organization
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5533
(330) 948-2726
Mailing address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5533
(330) 948-2726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801807870
LODI COMMUNITY HOSPITAL TYPE 2 NPI #
OH
05
—
2396081
—
OH
Enumeration date
07/07/2006
Last updated
09/11/2014
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