Organization
LODI MEMORIAL HOSPITAL ASSOCIATION INC
Active
Other names
Lodi Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE J DELMORE (FINANCE OFFICER)
(209) 339-7560
Entity
Organization
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 334-3411
(209) 339-7659
Mailing address
PO BOX 884577, LOS ANGELES, CA 90088-4577
(209) 334-3411
(209) 339-7659
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030000056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00336F
—
CA
01
—
HSP40336F
CHDP
CA
05
—
HSP40336F
—
CA
01
—
ZZR00336F
CMSP DEPT OF HEALTH SVC
CA
01
—
ZZZC3903Z
BLUE SHIELD IN & OUTPT
CA
Enumeration date
10/31/2005
Last updated
07/23/2025
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