Healthcare Provider Details

I. General information

NPI: 1295065787
Provider Name (Legal Business Name): MERIDIAN HOSPITALS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2010
Last Update Date: 01/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 STATE HIGHWAY 33 FORTUNATO PLACE
NEPTUNE NJ
07753-3763
US

IV. Provider business mailing address

2020 6TH AVE
NEPTUNE NJ
07753-6123
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-4274
  • Fax: 732-776-4753
Mailing address:
  • Phone: 732-897-7130
  • Fax: 732-897-7227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN GANTNER
Title or Position: SENIOR VP, FINANCE & CFO
Credential:
Phone: 732-751-7520