Organization
CENTRASTATE MEDICAL CENTER, INC
Active
Parent organization
CENTRASTATE MEDICAL CENTER, INC
Other names
CentraState Medical Center, home sleep studies
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRASTATE MEDICAL CENTER, INC
Authorized official
DEBORAH CONNORS (VICE PRESIDENT, REVENUE CYCLE)
(732) 294-7052
Entity
Organization
Contact information
Practice address
901 W MAIN ST, BUSINESS OFFICE, FREEHOLD, NJ 07728-2537
(732) 294-7012
(732) 303-9251
Mailing address
901 W MAIN ST, BUSINESS OFFICE, FREEHOLD, NJ 07728-2537
(732) 294-7012
(732) 303-9251
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11302
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310111
MEDICARE PTAN
NJ
Enumeration date
08/14/2014
Last updated
12/12/2024
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