Raccoon Valley Animal Hospital

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

29VI00219000 Issued in NJ

Legal business name

RACCOON VALLEY ANIMAL HOSPITAL

Practice address

301 Bridgeton Pike
Mullica Hill, NJ 08062-3711

Phone

(856) 478-6500

Fax

(856) 478-4417

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Wilma Abbott, CVT

Title

Hospital Manager

Phone

(856) 478-6500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1275793879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080623711",
            "telephone_number": "856-478-6500",
            "fax_number": "856-478-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080623711",
            "telephone_number": "856-478-6500",
            "fax_number": "856-478-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACCOON VALLEY ANIMAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "WILMA",
        "authorized_official_title_or_position": "HOSPITAL MANAGER",
        "authorized_official_telephone_number": "856-478-6500",
        "authorized_official_credential": "CVT"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00219000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.