Provider Demographics
NPI:1922095116
Name:HUNTERDON MEDICAL CENTER
Entity Type:Organization
Organization Name:HUNTERDON MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-788-6153
Mailing Address - Street 1:2100 WESCOTT DR
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4603
Mailing Address - Country:US
Mailing Address - Phone:908-788-6100
Mailing Address - Fax:
Practice Address - Street 1:2100 WESCOTT DR
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4603
Practice Address - Country:US
Practice Address - Phone:908-788-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ11001282N00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4135202Medicaid
NJHO4402OtherOXFORD
NJ16247OtherAMERIGROUP
NJ1015880OtherHORIZON MERCY
NJ4530OtherAMERIHEALTH
NJ310005OtherHORIZON BCBS
NJ0013013OtherAETNA
NJIL5008OtherHEALTHNET
NJ4530OtherAMERIHEALTH
NJHO4402OtherOXFORD
NJ1015880OtherHORIZON MERCY
NJ0013013OtherAETNA
NYCE8436Medicare ID - Type UnspecifiedRAILROAD RETIREMENT
NY529071Medicare ID - Type UnspecifiedMED B-EMPIRE-VASCULAR LAB
NJ16247OtherAMERIGROUP
NY529072Medicare ID - Type UnspecifiedMED B-EMPIRE-PHIL.BARB HC
NY529070Medicare ID - Type UnspecifiedMED B-EMPIRE DVFHC
NJ4135202Medicaid