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Organization

COMMUNITY MEDICAL CENTERS, INC.

Active
Other names
Lawrence Family Center & Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL H. KIRKPATRICK (CHIEF EXECUTIVE OFFICER)
(209) 373-2833
Entity
Organization

Contact information

Practice address
721 CALAVERAS STREET, LODI, CA 95240-0628
(209) 331-8019
(209) 331-8018
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 373-2833
(209) 373-2878

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0300000424
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC70460F
CA
Enumeration date
12/20/2006
Last updated
12/03/2008
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