Healthcare Provider Details

I. General information

NPI: 1932747326
Provider Name (Legal Business Name): INSPIRA MEDICAL CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N BROAD ST
WOODBURY NJ
08096-1617
US

IV. Provider business mailing address

333 IRVING AVE
BRIDGETON NJ
08302-2123
US

V. Phone/Fax

Practice location:
  • Phone: 856-845-0100
  • Fax:
Mailing address:
  • Phone: 856-575-4777
  • Fax: 856-575-4951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

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