Active NPI
Camden County Health Services Center
- Skilled Nursing Facility
- Blackwood, NJ
National Provider Identifier
1295721256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060411
- Legal business name
- CAMDEN COUNTY HEALTH SERVICES CENTER
- Practice address
- 425 Woodbury Turnersville Rd
Blackwood, NJ 08012-2888 - Phone
- (856) 374-6479
- Fax
- (856) 374-6469
- NPI assigned
- Sep 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gene Lynam
- Title
- Chief Financial Officer
- Phone
- (856) 374-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060411 | NJ | Primary |
Addresses
Primary practice location
425 Woodbury Turnersville Rd
Blackwood, NJ 08012-2888
Mailing address
425 Woodbury Turnersville Rd
Blackwood, NJ 08012-2888
Phone (856) 374-6479
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6889000 | Medicaid | NJ | |
| 0704670001 | Other | NJ | HEALTHNOW NY (MCARE DMERC |
National Provider Directory
National Provider Directory- Tax ID family
- Elmwood Hills Healthcare Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Blackwood, NJ
- NPI 1033547161
-
- Psychiatric Hospital
- Blackwood, NJ
- NPI 1487070793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258934400000",
"number": "1295721256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 WOODBURY TURNERSVILLE RD",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122888",
"telephone_number": "856-374-6479",
"fax_number": "856-374-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 WOODBURY TURNERSVILLE RD",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122888",
"telephone_number": "856-374-6479",
"fax_number": "856-374-6469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMDEN COUNTY HEALTH SERVICES CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2009-11-23",
"status": "A",
"authorized_official_last_name": "LYNAM",
"authorized_official_first_name": "GENE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "856-374-6500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6889000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW NY (MCARE DMERC",
"identifier": "0704670001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.