Provider Demographics
NPI:1417311341
Name:JMH
Entity Type:Organization
Organization Name:JMH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:POINT OF CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JORGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-575-7000
Mailing Address - Street 1:26, MEYOTTE 35
Mailing Address - Street 2:
Mailing Address - City:PETION VILLE
Mailing Address - State:PORT-AU-PRINCE
Mailing Address - Zip Code:6120
Mailing Address - Country:HT
Mailing Address - Phone:239-676-4132
Mailing Address - Fax:
Practice Address - Street 1:26, MEYOTTE 35
Practice Address - Street 2:
Practice Address - City:PETION VILLE
Practice Address - State:PORT-AU-PRINCE
Practice Address - Zip Code:6120
Practice Address - Country:HT
Practice Address - Phone:239-676-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital