1588834386 NPI number — LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

Table of content: (NPI 1588834386)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588834386 NPI number — LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
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:
1588834386
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 GROVE ST
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
HADDON HEIGHTS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08035-1702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-796-9200
Provider Business Mailing Address Fax Number:
856-310-5603

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 SUNSET RD
Provider Second Line Business Practice Location Address:
SUITE 1B
Provider Business Practice Location Address City Name:
WILLINGBORO
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08046-1126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-835-5204
Provider Business Practice Location Address Fax Number:
609-835-5267
Provider Enumeration Date:
03/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
GENE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
609-835-3061

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  25MA02743800 , 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)





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