Provider Demographics
NPI:1538500343
Name:BNJ HEALTH SERVICES INC SALISBURY
Entity Type:Organization
Organization Name:BNJ HEALTH SERVICES INC SALISBURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-624-7894
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-0444
Mailing Address - Country:US
Mailing Address - Phone:443-978-7919
Mailing Address - Fax:443-978-7930
Practice Address - Street 1:204 NEWTON ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5433
Practice Address - Country:US
Practice Address - Phone:443-978-7919
Practice Address - Fax:443-978-7930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD904969261QH0100X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service