Provider Demographics
NPI:1508270299
Name:INSPIRA HEALTH NETWORK
Entity Type:Organization
Organization Name:INSPIRA HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GME PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GERIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-641-8661
Mailing Address - Street 1:1505 W SHERMAN AVE
Mailing Address - Street 2:BOX 93
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6912
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1505 W SHERMAN AVE
Practice Address - Street 2:BOX 93
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6912
Practice Address - Country:US
Practice Address - Phone:856-641-8661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital