Provider Demographics
NPI:1043969561
Name:BOROUGH OF BUTLER
Entity Type:Organization
Organization Name:BOROUGH OF BUTLER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-838-6565
Mailing Address - Street 1:1 ACE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1348
Mailing Address - Country:US
Mailing Address - Phone:973-838-6565
Mailing Address - Fax:973-838-3762
Practice Address - Street 1:1 ACE RD STE 2
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1348
Practice Address - Country:US
Practice Address - Phone:973-838-6565
Practice Address - Fax:973-838-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local