Provider Demographics
NPI:1326293291
Name:KEARNY HEALTH DEPT
Entity Type:Organization
Organization Name:KEARNY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SARNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-997-0600
Mailing Address - Street 1:645 KEARNY AVENUE
Mailing Address - Street 2:KEARNY HEALTH DEPT
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032
Mailing Address - Country:US
Mailing Address - Phone:201-997-0600
Mailing Address - Fax:201-997-9703
Practice Address - Street 1:645 KEARNY AVENUE
Practice Address - Street 2:KEARNY HEALTH DEPT
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032
Practice Address - Country:US
Practice Address - Phone:201-997-0600
Practice Address - Fax:201-997-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare