<unavail> in Lodi, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lodi, California. The current practice location for is 721 Calaveras Street, Lodi, California. For appointments, you can reach them via phone at (209) 331-8019. The mailing address for is Po Box 779, Stockton, California and phone number is (209) 373-2833.

is licensed to practice in California (license number 0300000424). The clinic also participates in the medicare program and its NPI number is 1659435279. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (209) 331-8019.

Contact Information


	721 Calaveras Street Lodi CA 95240-0628
	(209) 331-8019
	(209) 331-8018

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	721 Calaveras Street, Lodi, California
Authorized Official Name and Position	Michael H. Kirkpatrick (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	2093732833
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 779 Stockton CA 95201-0779 Ph: (209) 373-2833	721 Calaveras Street Lodi CA 95240-0628 Ph: (209) 331-8019

NPI Details:

NPI Number	1659435279
Provider Enumeration Date	12/20/2006
Last Update Date	12/03/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	8426968520
Medicare Enrollment ID	O20070227000817

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659435279	NPI	-	NPPES
FHC70460F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	0300000424 (California)	Primary

Reviews and Comments

Clinic/Center in Lodi, CA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St Ste 20, Lodi, CA 95240 Phone: 209-339-7625 Fax: 209-339-7659
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400

- Medicare Primary Care in Lodi, CA