1023232246 NPI number — HOUSING AUTHORITY OF THE CITY OF MILLVILLE

Table of content: (NPI 1023232246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023232246 NPI number — HOUSING AUTHORITY OF THE CITY OF MILLVILLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOUSING AUTHORITY OF THE CITY OF MILLVILLE
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:
MILLVILLE HOUSING AUTHORITY
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:
1023232246
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 RIVERSIDE DR.
Provider Second Line Business Mailing Address:
BOX 1-G
Provider Business Mailing Address City Name:
MILLVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-825-8869
Provider Business Mailing Address Fax Number:
856-293-1294

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 RIVERSIDE DR
Provider Second Line Business Practice Location Address:
BOX 1-G
Provider Business Practice Location Address City Name:
MILLVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-825-8869
Provider Business Practice Location Address Fax Number:
856-825-8669
Provider Enumeration Date:
04/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHARD
Authorized Official First Name:
BOBBI
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
856-825-8869

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  25A200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0000931 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com