1306872296 NPI number — WILLIAM B. KESSLER MEMORIAL HOSPITAL

Table of content: (NPI 1306872296)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306872296 NPI number — WILLIAM B. KESSLER MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM B. KESSLER MEMORIAL 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:
Provider Other Organization Name Type Code:
6
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:
1306872296
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 S WHITE HORSE PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMMONTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08037-2099
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-561-6700
Provider Business Mailing Address Fax Number:
609-704-1269

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 S WHITE HORSE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMMONTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08037-2099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-561-6700
Provider Business Practice Location Address Fax Number:
609-704-1269
Provider Enumeration Date:
06/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROSSI
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
INTERIM CEO
Authorized Official Telephone Number:
609-561-6700

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  10104 , 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: 0001227000 . This is a "AMERIHEALTH/KEYSTONE BC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 00434244 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0478212 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 35891 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: J004637 . This is a "CHAMPUS - TRICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 300003269A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3676404 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50301 . This is a "AMERIGROUP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: IL5511 . This is a "ACS/HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 13063 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 01000419500 . This is a "AMERICHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 23418 . This is a "UNIVERSITY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5361303 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 912671600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 45564 . This is a "HORIZON NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: HO5100 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com