INTELLIHEALTH INC. NPI 1730186784

NPI Information

NPI: 1730186784
Provider Name: INTELLIHEALTH, INC.

Doing Business As: MOUNT LAUREL FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4510 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 439-0060
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INTELLIHEALTH, INC. is a primary care clinic center in Mount Laurel, NJ. INTELLIHEALTH, INC. NPI is 1730186784. The provider is registered as an organization entity type.
The provider Is Doing Business As Mount Laurel Family Medicine.

The provider's business location address is:

4510 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054-210
Phone: (856) 439-0060
Fax: (856) 439-0061

The provider's authorized official is Thomas Y Lee .
The authorized official title is Owner and has the following contact phone number (856) 439-0060.

The enumeration date for this NPI number is 7/6/2005 and was last updated on 5/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Y19322	MEDICARE UPIN	NEW JERSEY
2	DH0748	OTHER		RAILROAD MEDICARE GROUP NUMBER
3	084102	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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