Provider Demographics
NPI:1710008255
Name:CAPE MAY COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CAPE MAY COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PHC
Authorized Official - Phone:609-465-1187
Mailing Address - Street 1:4 MOORE RD
Mailing Address - Street 2:DN 601
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1654
Mailing Address - Country:US
Mailing Address - Phone:609-465-1187
Mailing Address - Fax:609-465-3993
Practice Address - Street 1:6 MOORE RD.
Practice Address - Street 2:DN 601
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1654
Practice Address - Country:US
Practice Address - Phone:609-465-1187
Practice Address - Fax:609-465-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ70501261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0023604Medicaid