Provider Demographics
NPI:1073232021
Name:CLINTON HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CLINTON HEALTH SERVICES LLC
Other - Org Name:CLINTON HEALTH SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAY SALVACION
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGISTRADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-456-1216
Mailing Address - Street 1:29 HILLSIDE CT
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1136
Mailing Address - Country:US
Mailing Address - Phone:908-456-1216
Mailing Address - Fax:
Practice Address - Street 1:29 HILLSIDE CT
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1136
Practice Address - Country:US
Practice Address - Phone:908-456-1216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty