Healthcare Provider Details

I. General information

NPI: 1083650188
Provider Name (Legal Business Name): AHS HOSPITAL CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BEAUVOIR AVE
SUMMIT NJ
07901-3533
US

IV. Provider business mailing address

475 SOUTH ST
MORRISTOWN NJ
07960-6459
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number12005
License Number StateNJ

VIII. Authorized Official

Name: JOSEPH MICHAEL WALTER
Title or Position: SVP, CHIEF FINANCIAL OFFICER
Credential:
Phone: 610-331-9446