Inspira Medical Centers, Inc.
Organization Active NPI Mental Illness Intermediate Care Facility · Bridgeton, NJ
NPI 1104870161 · NPPES record last updated Nov 26, 2013
Key facts
- NPI
- 1104870161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Intermediate Care Facility 310500000X
- Legal business name
- INSPIRA MEDICAL CENTERS, INC.
- Practice address
- 333 Irving Avenue
Bridgeton, NJ 08302-2100 - Phone
- (856) 575-4500
- Fax
- (856) 575-4742
- NPI assigned
- May 22, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- INSPIRA MEDICAL CENTERS, INC.
Authorized official
- Name
- Mr. James Thomas O'Connell, CPA
- Title
- Director of Revenue Cycle
- Phone
- (856) 575-4777
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Pathology Elmer Comm Ho
- Part of
- Pathology Elmer Comm Ho
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105368 | Medicaid | NJ |
Other names
- Inspira Adolescent Intermediate Behavioral Care Unit Bridgeton
Other providers in Bridgeton, NJ
- Ashley Humphrey
- HW Weidco Ren LLC
- HW/Weidco/Ren LLC
- James G. Iannucci
- Basil J Ingemi
- Inspira Medical Centers, Inc.
- Inspira Medical Centers, Inc.
- Inspira Medical Centers, Inc.
- Inspira Medical Centers, Inc.
- Inspira Medical Centers, Inc.
All providers in Bridgeton, NJ · Mental Illness Intermediate Care Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.