Provider Demographics
NPI:1073859005
Name:MERIDIAN HOSPITALS CORPORATION
Entity Type:Organization
Organization Name:MERIDIAN HOSPITALS CORPORATION
Other - Org Name:THE SLEEPCARE CENTER AT JERSEY SHORE UNIVERSITY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT - FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCZAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-897-7800
Mailing Address - Street 1:1809 CORLIES AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4801
Mailing Address - Country:US
Mailing Address - Phone:732-776-4126
Mailing Address - Fax:
Practice Address - Street 1:1809 CORLIES AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4801
Practice Address - Country:US
Practice Address - Phone:732-776-4126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic