Provider Demographics
NPI:1518262203
Name:ARC MERCER, INC.
Entity Type:Organization
Organization Name:ARC MERCER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-406-0181
Mailing Address - Street 1:1542 KUSER RD STE B7
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3829
Mailing Address - Country:US
Mailing Address - Phone:609-989-9211
Mailing Address - Fax:609-896-0249
Practice Address - Street 1:1542 KUSER RD STE B7
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3829
Practice Address - Country:US
Practice Address - Phone:609-989-9211
Practice Address - Fax:609-896-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1831833474Medicaid
NJ1982802997Medicaid
NJ1275602344Medicaid
NJ1396818076Medicaid
NJ1295339398Medicaid
NJ1326010034Medicaid
NJ1447688635Medicaid