Provider Demographics
NPI:1518969419
Name:AHS HOSPITAL CORP
Entity Type:Organization
Organization Name:AHS HOSPITAL CORP
Other - Org Name:HACKETTSTOWN MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:SR. VP FINANCE & ADM OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LENAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-829-4240
Mailing Address - Street 1:651 WILLOW GROVE ST
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-1799
Mailing Address - Country:US
Mailing Address - Phone:908-850-6900
Mailing Address - Fax:908-850-6847
Practice Address - Street 1:651 WILLOW GROVE ST
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1799
Practice Address - Country:US
Practice Address - Phone:908-850-6900
Practice Address - Fax:908-850-6847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12101282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0007770OtherUS HEALTHCARE
NY00472239Medicaid
NY001140OtherBC EMPIRE
PA0010332490001Medicaid
VA3101151Medicaid
NJH03038OtherOXFORD
NJ0503886Medicaid
NJ310115OtherHORIZON BCBS OF NJ
NJWA000004800OtherAMERICHOICE/MHS INPATIENT
NJ16202OtherAMERIGROUP
NJIL5060OtherHEALTHNET/PHS
NJ0002472000OtherAMERIHEALTH/KEYSTONE
NY001140OtherBC EMPIRE
NJ310115Medicare Oscar/Certification