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1154220044 NPI number — HENRY J. AUSTIN HEALTH CENTER, INC MOBILE HEALTH UNIT (VAN)

NPI Number: 1154220044
Health Care Provider/Practitioner: HENRY J. AUSTIN HEALTH CENTER, INC MOBILE HEALTH UNIT (VAN)

Information about “1154220044” NPI (HENRY J. AUSTIN HEALTH CENTER, INC MOBILE HEALTH UNIT (VAN)) exists in 1154220044 in HTML format HTML  |  1154220044 in plain Text format TXT  |  1154220044 in PDF (Portable Document Format) PDF  |  1154220044 in an XML format XML  formats.

NPI Number : 1154220044 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154220044",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HENRY J. AUSTIN HEALTH CENTER, INC MOBILE HEALTH UNIT (VAN)",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "321 N WARREN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TRENTON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08618-4741",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-278-5900",
    "MailingAddressFaxNumber": "844-601-8852",
    "FirstLinePracticeLocationAddress": "321 N WARREN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TRENTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08618-4741",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-278-5900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2026",
    "LastUpdateDate": "11/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAVIS",
    "AuthorizedOfficialFirstName": "CHARLES",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "609-477-0252",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QF0400X",
        "TaxonomyName": "Federally Qualified Health Center (FQHC)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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