BOARD OF CHOSEN FREEHOLDERS OF SALEM COUNTY NPI 1629342696

NPI Information

NPI: 1629342696
Provider Name: BOARD OF CHOSEN FREEHOLDERS OF SALEM COUNTY
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 31D0681212

Address:
110 5TH STREET
SUITE 500
SALEM, NJ
ZIP 08079
Phone: (856) 935-7510
Get Directions

BOARD OF CHOSEN FREEHOLDERS OF SALEM COUNTY is a public health or welfare in Salem, NJ. BOARD OF CHOSEN FREEHOLDERS OF SALEM COUNTY NPI is 1629342696. The provider is registered as an organization entity type.

The provider's business location address is:

110 5TH STREET
SUITE 500
SALEM, NJ
ZIP 08079-912
Phone: (856) 935-7510
Fax: (856) 935-8483

The provider's authorized official is June Sieber .
The authorized official title is Director and has the following contact phone number (856) 935-7510.

The CLIA number assigned to this NPI record is 31D0681212 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2012 and was last updated on 11/7/2022.

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	251K00000X	Public Health or Welfare		360	NEW JERSEY	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	733307	MEDICAID	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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