Provider Demographics
NPI:1417664855
Name:BERGEN COUNTY IMPROVEMENT AUTHORITY
Entity Type:Organization
Organization Name:BERGEN COUNTY IMPROVEMENT AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AVP, REVENUE CYCLE
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-967-4032
Mailing Address - Street 1:230 E RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4142
Mailing Address - Country:US
Mailing Address - Phone:201-967-4032
Mailing Address - Fax:201-967-4003
Practice Address - Street 1:230 E RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4142
Practice Address - Country:US
Practice Address - Phone:201-967-4032
Practice Address - Fax:201-967-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health