1902903461 NPI number — MORRISTOWN HAMBLEN HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902903461 NPI number — MORRISTOWN HAMBLEN HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORRISTOWN HAMBLEN HOSPITAL
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:
MORRISTOWN HAMBLEN HOME HEALTH
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:
1902903461
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1633 W. MORRIS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISTOWN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-586-9291
Provider Business Mailing Address Fax Number:
423-586-1463

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1633 W. MORRIS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORRISTOWN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-586-9291
Provider Business Practice Location Address Fax Number:
423-586-1463
Provider Enumeration Date:
09/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WYATT
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
Authorized Official Title or Position:
RN, PCM
Authorized Official Telephone Number:
423-586-9291

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  0000000153 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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