=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184809220
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AHS HOSPITAL CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2008
-----------------------------------------------------
Last Update Date | 02/23/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 MADISON AVE BOX 99
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07962-1956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-4154
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 MADISON AVE BOX 99
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07962
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-4154
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JOANNE CONROY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-971-5000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------