Provider Demographics
NPI: | 1861684136 |
---|---|
Name: | FREEHOLD TOWNSHIP |
Entity Type: | Organization |
Organization Name: | FREEHOLD TOWNSHIP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | HEALTH OFFICER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | MARGARET |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | JAHN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 732-294-2060 |
Mailing Address - Street 1: | 1 MUNICIPAL PLZ |
Mailing Address - Street 2: | |
Mailing Address - City: | FREEHOLD |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07728-3064 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-294-2060 |
Mailing Address - Fax: | 732-462-2340 |
Practice Address - Street 1: | 1 MUNICIPAL PLZ |
Practice Address - Street 2: | |
Practice Address - City: | FREEHOLD |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07728-3064 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-294-2060 |
Practice Address - Fax: | 732-462-2340 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-08-10 |
Last Update Date: | 2010-08-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QP0905X | Ambulatory Health Care Facilities | Clinic/Center | Public Health, State or Local |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NJ | 174647 | Medicare PIN |