1760599336 NPI number — MERIDIAN HOSPITALS CORPORATION, INC. DBA RIVERVIEW MEDICAL CENTER

Table of content: (NPI 1760599336)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760599336 NPI number — MERIDIAN HOSPITALS CORPORATION, INC. DBA RIVERVIEW MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERIDIAN HOSPITALS CORPORATION, INC. DBA RIVERVIEW MEDICAL CENTER
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:
RIVERVIEW 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:
1760599336
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 JUMPING BROOK RD
Provider Second Line Business Mailing Address:
BLDG 5, STE 201, ATTN: BEHAVIORAL HEALTH CREDENTIALING
Provider Business Mailing Address City Name:
NEPTUNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07753
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-643-4372
Provider Business Mailing Address Fax Number:
732-643-4376

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 RIVERVIEW PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED BANK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-643-4363
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PALERMO
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
VP FINANCE
Authorized Official Telephone Number:
732-751-3342

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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