Provider Demographics
NPI:1598825093
Name:JC HEALTH SERVICES.LLC
Entity Type:Organization
Organization Name:JC HEALTH SERVICES.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAJWA
Authorized Official - Middle Name:
Authorized Official - Last Name:Q
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-798-1799
Mailing Address - Street 1:PO BOX 6440
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-0440
Mailing Address - Country:US
Mailing Address - Phone:201-798-1799
Mailing Address - Fax:201-798-1499
Practice Address - Street 1:544 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2702
Practice Address - Country:US
Practice Address - Phone:201-798-1799
Practice Address - Fax:201-798-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23164261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology