Community Medical Centers INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Lodi, CA. Organization (NPI-2).
NPI number1164087268
StatusActive
Last updated in NPPESJul 5, 2019
Details
- NPI
- 1164087268
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Medical Centers INC
- Organization subpart
- No
- Enumeration date
- May 3, 2019
- Last updated
- Jul 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Cmc, Lodi Vine Family Care, Suite 105 (Doing Business As)
Practice location
2415 W Vine St Ste 105Lodi, CA 95242-3731
Phone 209-333-3121
Mailing address
7210 Murray DrStockton, CA 95210-3339
Phone 209-373-2800
Authorized official
Christine Noguera
Ceo
2093732831
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All 7 Federally Qualified Health Center (FQHC) providers in Lodi · All 1,321 providers in Lodi
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