1437832201 NPI number — INSPIRA MEDICAL CENTERS, INC.

Table of content: (NPI 1437832201)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437832201 NPI number — INSPIRA MEDICAL CENTERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSPIRA MEDICAL CENTERS, INC.
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:
INSPIRA MEDICAL CENTER MANNINGTON
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:
1437832201
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 IRVING AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRIDGETON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08302-2123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-575-4777
Provider Business Mailing Address Fax Number:
856-575-4951

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 SALEM WOODSTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08079-2064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-339-6059
Provider Business Practice Location Address Fax Number:
856-935-3175
Provider Enumeration Date:
08/09/2023

Additional Information

Authorized Official

Authorized Official Last Name:
PELINO
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. VICE PRESIDENT & CFO
Authorized Official Telephone Number:
856-641-6605

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 71702 . This is a "NEW JERSEY DEPARTMENT OF HEALTH LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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