Provider Demographics
NPI:1184812562
Name:CITY OF HACKENSACK
Entity type:Organization
Organization Name:CITY OF HACKENSACK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:CHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:201-646-3960
Mailing Address - Street 1:215 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5522
Mailing Address - Country:US
Mailing Address - Phone:201-646-3960
Mailing Address - Fax:201-646-3989
Practice Address - Street 1:215 STATE ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5522
Practice Address - Country:US
Practice Address - Phone:201-646-3960
Practice Address - Fax:201-646-3989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare