1366471278 NPI number — COUNTY OF ATLANTIC

Table of content: (NPI 1366471278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366471278 NPI number — COUNTY OF ATLANTIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF ATLANTIC
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:
1366471278
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 S. SHORE ROAD
Provider Second Line Business Mailing Address:
COMMUNITY HEALTH
Provider Business Mailing Address City Name:
NORTHFIELD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08225
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-645-5933
Provider Business Mailing Address Fax Number:
609-272-8490

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 SHORE RD
Provider Second Line Business Practice Location Address:
COMMUNITY HEALTH
Provider Business Practice Location Address City Name:
NORTHFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08225-2319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-645-5933
Provider Business Practice Location Address Fax Number:
609-272-8490
Provider Enumeration Date:
07/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DIAMOND
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
HEALTH OFFICER
Authorized Official Telephone Number:
609-645-5935

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0118478 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2073137 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com