Healthcare Provider Details

I. General information

NPI: 1205232014
Provider Name (Legal Business Name): INSPIRA HEALTH NETWORK URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2014
Last Update Date: 11/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 E CHESTNUT AVE SUITE 120
VINELAND NJ
08360-5800
US

IV. Provider business mailing address

2848 S DELSEA DR SUITE 4B
VINELAND NJ
08360-7042
US

V. Phone/Fax

Practice location:
  • Phone: 856-205-7070
  • Fax:
Mailing address:
  • Phone: 856-205-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAGEN MCKINNEY
Title or Position: DIRECTOR
Credential:
Phone: 856-205-7070