Provider Demographics
NPI:1275704025
Name:MOUNT OLIVE TOWNSHIP
Entity Type:Organization
Organization Name:MOUNT OLIVE TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-691-0900
Mailing Address - Street 1:PO BOX 450
Mailing Address - Street 2:
Mailing Address - City:BUDD LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07828-0450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 FLANDERSDRAKESTOWN RD
Practice Address - Street 2:
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828
Practice Address - Country:US
Practice Address - Phone:973-691-0900
Practice Address - Fax:973-691-7681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ549242Medicare PIN