Organization
COMMUNITY MEDICAL CENTERS, INC.
Active
Other names
Woodbridge Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KIRKPATRICK (CEO)
(209) 373-2833
Entity
Organization
Contact information
Practice address
2401 W TURNER RD, SUITE 450, LODI, CA 95242-2182
(209) 370-1700
(209) 370-1737
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 370-1700
(209) 370-1737
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70460F
BCCCP
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
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