Healthcare Provider Details

I. General information

NPI: 1104870161
Provider Name (Legal Business Name): INSPIRA MEDICAL CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 IRVING AVENUE
BRIDGETON NJ
08302-2100
US

IV. Provider business mailing address

333 IRVING AVENUE
BRIDGETON NJ
08302-2100
US

V. Phone/Fax

Practice location:
  • Phone: 856-575-4500
  • Fax: 856-575-4742
Mailing address:
  • Phone: 856-575-4500
  • Fax: 856-451-5269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310500000X
TaxonomyMental Illness Intermediate Care Facility
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