Healthcare Provider Details
I. General information
NPI: 1346386000
Provider Name (Legal Business Name): INSPIRA MEDICAL CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2007
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 IRVING AVE
BRIDGETON NJ
08302-2123
US
IV. Provider business mailing address
333 IRVING AVE
BRIDGETON NJ
08302-2123
US
V. Phone/Fax
- Phone: 856-575-4500
- Fax: 856-451-5269
- Phone: 856-575-4500
- Fax: 856-451-5269
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
THOMAS
O'CONNELL
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential: CPA
Phone: 856-575-4777