Organization
KENNEDY UNIVERSITY HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MACCRACKEN (REGIONAL CFO)
(215) 481-2853
Entity
Organization
Contact information
Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 346-6000
(856) 346-6005
Mailing address
PO BOX 787032, PHILADELPHIA, PA 19178-7032
(856) 661-5164
(856) 661-5274
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
10403
NJ
282N00000X
General Acute Care Hospital
Primary
10403
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4140206
—
NJ
Enumeration date
09/01/2006
Last updated
04/22/2025
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