Healthcare Provider Details

I. General information

NPI: 1982810248
Provider Name (Legal Business Name): HMH CARRIER CLINIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 COUNTY ROAD 601
BELLE MEAD NJ
08502-3923
US

IV. Provider business mailing address

252 COUNTY ROAD 601
BELLE MEAD NJ
08502-3923
US

V. Phone/Fax

Practice location:
  • Phone: 908-281-1000
  • Fax: 908-281-1676
Mailing address:
  • Phone: 908-281-1000
  • Fax: 908-281-1676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number51806
License Number StateNJ

VIII. Authorized Official

Name: MR. RANDOLPH S JACOBSON
Title or Position: VICE PRESIDENT - CFO
Credential:
Phone: 908-281-1000