MEDICARE: ESSEX COUNTY HOSPITAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275962375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSEX COUNTY HOSPITAL CENTER

Provider Business Mailing Address
First Line	:	50 S CLINTON ST
Second Line	:	SUITE 4300
City	:	EAST ORANGE
State	:	NJ
Zip	:	07018-3120
Country	:	US
Telephone Number	:	973-395-8455
Fax Number	:	973-395-8897

Provider Business Practice Location Address
First Line	:	50 S CLINTON ST
Second Line	:	SUITE 4300
City	:	EAST ORANGE
State	:	NJ
Zip	:	07018-3120
Country	:	US
Telephone Number	:	973-395-8455
Fax Number	:	973-395-8897

Authorized Official
Title or Position	:	FISCAL ANALYST
Name	:	SUE HANDS
Credential	:
Telephone Number	:	973-395-4662

Provider Enumeration Date	:	11/08/2013
Last Update Date	:	11/08/2013

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Directions to “ESSEX COUNTY HOSPITAL CENTER ” Practice Location

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