1336310895 NPI number — HMH HOSPITALS CORPORATION

Table of content: (NPI 1336310895)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336310895 NPI number — HMH HOSPITALS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HMH HOSPITALS CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HACKENSACK MERIDIAN HEALTH PHARMACY AT OCEAN MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336310895
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
425 JACK MARTIN BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRICK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08724-7732
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-836-4545
Provider Business Mailing Address Fax Number:
732-836-4401

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 JACK MARTIN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08724-7732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-836-4545
Provider Business Practice Location Address Fax Number:
732-836-4401
Provider Enumeration Date:
03/12/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SCHENK
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
J
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
732-836-4545

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  28RS00678900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336I0012X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3195016 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




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