Provider Demographics
NPI:1245392570
Name:HUNTERDON MEDICAL CENTER
Entity Type:Organization
Organization Name:HUNTERDON MEDICAL CENTER
Other - Org Name:PHILLIPS BARBER FAMILY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:908-788-6429
Mailing Address - Street 1:72 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08530-2200
Mailing Address - Country:US
Mailing Address - Phone:609-397-3535
Mailing Address - Fax:609-397-0301
Practice Address - Street 1:72 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08530-2200
Practice Address - Country:US
Practice Address - Phone:609-397-3535
Practice Address - Fax:609-397-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2328208Medicaid
NJ2328208Medicaid