Organization
COMMUNITY MEDICAL CENTERS, INC.
Active
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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