MEDICARE: COMMUNITY MEDICAL CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)	030000424	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881685964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MEDICAL CENTERS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 779
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95201-0779
Country	:	US
Telephone Number	:	209-373-2800
Fax Number	:	209-373-2878

Provider Business Practice Location Address
First Line	:	2401 W TURNER RD
Second Line	:
City	:	LODI
State	:	CA
Zip	:	95242-2182
Country	:	US
Telephone Number	:	209-370-1700
Fax Number	:	209-370-1737

Authorized Official
Title or Position	:	CEO
Name	:	MR. MICHAEL H KIRKPATRICK
Credential	:
Telephone Number	:	209-373-2833

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	07/14/2010

Similar Medicare Providers

1003801739 — WOODBRIDGE PHARMACY
Practice Location Address:

2401 W TURNER RD , SUITE 290
LODI, CA
95242-2182

Practice Phone: 209-365-9200
Practice Fax: 209-365-9400

1104908847 — SHIZU JENNIFER KAWAI N.P.
Practice Location Address:

2401 W TURNER RD , SUITE 450
LODI, CA
95242-2182

Practice Phone: 209-370-1700
Practice Fax: 209-370-1737

1053480780 — DR. MARIETTA ABELLERA SUMAQUIAL M.D.
Practice Location Address:

2401 W TURNER RD , SUITE 450
LODI, CA
95242-2182

Practice Phone: 209-370-1700
Practice Fax:

1801918743 — COMMUNITY MEDICAL CENTERS, INC.
Practice Location Address:

2401 W TURNER RD , SUITE 450
LODI, CA
95242-2182

Practice Phone: 209-370-1700
Practice Fax: 209-370-1737

1710009659 — COMMUNITY MEDICAL CENTERS, INC.
Practice Location Address:

2401 W TURNER RD , SUITE 450
LODI, CA
95242-2182

Practice Phone: 209-370-1700
Practice Fax: 209-370-1737

1346409257 — CHRIS R. SWARTWOOD PT
Practice Location Address:

2401 W TURNER RD , 250
LODI, CA
95242-2182

Practice Phone: 805-334-2224
Practice Fax: 805-334-2225

Directions to “COMMUNITY MEDICAL CENTERS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.