LODI MEMORIAL COMMUNITY CLINIC - MILLSBRIDGE
NPI 1760620330
Clinic/Center - Primary Care in Lodi, CA

Q: What is Lodi Memorial Hospital Association, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 04, 2009

1901 W KETTLEMAN LANE, SUITE 200, LODI, CA 95242(209) 334-8540(209) 339-7659 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lodi Memorial Community Clinic - Millsbridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LODI MEMORIAL COMMUNITY CLINIC - MILLSBRIDGE (NPI 1760620330) is a healthcare organization registered as a primary care in Lodi, California and active in the NPI registry since February 2009. The organization lists Jason Whitney, Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1760620330

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION, INC.

Location Address1901 W KETTLEMAN LANE, SUITE 200Lodi, CA 95242-4337

Mailing AddressPo Box 884577Los Angeles, CA 90088-4577 · (209) 334-3411 · Fax (209) 339-7659

Phone(209) 334-8540

Fax(209) 339-7659

Organization SubpartYes

Authorized OfficialJason WhitneyFinance Officer · (209) 339-7477

Enumeration DateFebruary 4, 2009

Last NPPES UpdateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1760620330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in CA · 550001052

1901 W KETTLEMAN LANE, Lodi, CA 95242

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Other Names 1

Doing Business AsLodi Memorial Community Clinic - Millsbridge

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lodi Memorial Hospital Association, Inc.'s NPI number?

The NPI number for Lodi Memorial Hospital Association, Inc. is 1760620330. It was assigned to this organization in the NPPES registry on February 4, 2009. The provider is doing business as Lodi Memorial Community Clinic - Millsbridge.

Where is Lodi Memorial Hospital Association, Inc. located?

Lodi Memorial Hospital Association, Inc. is located at 1901 W Kettleman Lane Suite 200, Lodi, CA 95242. The listed phone number is (209) 334-8540.

What is Lodi Memorial Hospital Association, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lodi Memorial Hospital Association, Inc. was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.