NPIMap

Organization Active NPI

Inspira Medical Centers, Inc.

Doing business as Inspira Adolescent Intermediate Behavioral Care Unit Bridgeton

  • Mental Illness Intermediate Care Facility
  • Bridgeton, NJ
National Provider Identifier
1104870161
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
INSPIRA MEDICAL CENTERS, INC.
Doing business as
Inspira Adolescent Intermediate Behavioral Care Unit Bridgeton
Practice address
333 Irving Avenue
Bridgeton, NJ 08302-2100
Phone
(856) 575-4500
Fax
(856) 575-4742
NPI assigned
May 22, 2006
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
INSPIRA MEDICAL CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Thomas O'Connell, CPA
Title
Director of Revenue Cycle
Phone
(856) 575-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

333 Irving Avenue
Bridgeton, NJ 08302-2100

Mailing address

333 Irving Avenue
Bridgeton, NJ 08302-2100
Phone (856) 575-4500

Other names 1

  • Inspira Adolescent Intermediate Behavioral Care Unit Bridgeton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emer Room Bridgeton Div19 organizations share this tax ID, including this one
Part of
Emer Room Bridgeton Div

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1104870161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 IRVING AVENUE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022100",
            "telephone_number": "856-575-4500",
            "fax_number": "856-451-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 IRVING AVENUE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022100",
            "telephone_number": "856-575-4500",
            "fax_number": "856-575-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRA MEDICAL CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSPIRA MEDICAL CENTERS, INC.",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "856-575-4777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspira Adolescent Intermediate Behavioral Care Unit Bridgeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.