Organization Name: | SALEM HOSPITAL CORPORATION |
NPI Number: | 1063493476 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
Mailing Address: | 499 Beckett Rd Swedesboro |
State: | NJ US |
Postal Code: | 080851766 |
Phone Number: | 8564676966 |
Fax Number: | 8562410894 |
NPI Enumeration Date: | 11/11/2005 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |