Provider Demographics
NPI:1497992374
Name:PASSAIC COUNTY SHERIFFS DEPT
Entity Type:Organization
Organization Name:PASSAIC COUNTY SHERIFFS DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WARDEN
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-881-4619
Mailing Address - Street 1:11 MARSHALL STREET
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-1806
Mailing Address - Country:US
Mailing Address - Phone:973-881-4619
Mailing Address - Fax:
Practice Address - Street 1:11 MARSHALL STREET
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-1806
Practice Address - Country:US
Practice Address - Phone:973-881-4619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF PASSAIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management