Organization
MERIDIAN HOSPITALS CORPORATION
Active
Parent organization
MERIDIAN HOSPITALS CORPORATION
Other names
Jane H. Booker Dialysis Center- JSUMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERIDIAN HOSPITALS CORPORATION
Authorized official
MR. JOHN GANTNER (SENIOR VP, FINANCE & CFO)
(732) 751-7520
Entity
Organization
Contact information
Practice address
2441 STATE HIGHWAY 33, FORTUNATO PLACE, NEPTUNE, NJ 07753-3763
(732) 776-4274
(732) 776-4753
Mailing address
2020 6TH AVE, NEPTUNE, NJ 07753-6123
(732) 897-7130
(732) 897-7227
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3675700
—
NJ
Enumeration date
01/05/2010
Last updated
01/05/2010
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