Basic Information
| Provider Information | |||||||||
| NPI: | 1124371786 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MERIDIAN HOSPITALS CORPORATION DBA JSUMC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1945 HWY 33 | ||||||||
| Address2: | JSUMC, | ||||||||
| City: | NEPTUNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327762325 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1945 HWY 33 | ||||||||
| Address2: | JSUMC, | ||||||||
| City: | NEPTUNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327762325 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2012 | ||||||||
| LastUpdateDate: | 10/19/2012 | ||||||||
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| AuthorizedOfficialLastName: | COLEMAN | ||||||||
| AuthorizedOfficialFirstName: | WINNIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | ASSISTANT NURSE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7327762325 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 44SL05798300 | NJ | Y | Hospitals | General Acute Care Hospital |
No ID Information.