ADVENTIST HEALTH LODI MEMORIAL

ADVENTIST HEALTH LODI MEMORIAL
975 SOUTH FAIRMONT AVENUE
LODI, CA  95240-5179
http://www.lodihealth.com

Contact:

Lynn Brooks Kelly
(209) 334-3411

License:

General Acute Care Hospital
Total Beds:  194
Emergency Room:  Yes

OSHPD ID:

106390923

Fair Pricing Policy Information  

Policy Effective Date:1/1/2015

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:1/1/2015

Discount Payments:

Discount Payment 1

FPL Range: 101%-500%
Payment Basis:
Medicare

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:1/1/2015

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Any other taxable income

Language Information

Available Languages:

English
Spanish

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106390923

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