Healthcare Provider Details

I. General information

NPI: 1497392385
Provider Name (Legal Business Name): INSPIRA MEDICAL CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 12/10/2019
Certification Date: 12/10/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

698 MULLICA HILL RD
MULLICA HILL NJ
08062
US

IV. Provider business mailing address

333 IRVING AVE
BRIDGETON NJ
08302-2123
US

V. Phone/Fax

Practice location:
  • Phone: 856-508-1000
  • Fax: 856-221-4142
Mailing address:
  • Phone: 856-575-4777
  • Fax: 856-575-4951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES THOMAS O'CONNELL
Title or Position: DIRECTOR REVENUE CYCLE
Credential:
Phone: 856-575-4777