Challenge Program Of New Jersey Inc

LBN: Challenge Program Of New Jersey Inc
Challenge Program Of New Jersey Inc is an health care organization with primary practice located at 152 Market St Suite 200, Paterson NJ 07505-1724. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Challenge Program Of New Jersey Inc can be contacted via phone (973) 345-9100, or through Thompson, William via phone (973) 345-9100.

Contact Information

Primary practice address
152 Market St Suite 200 Paterson NJ 07505-1724
Phone: (973) 345-9100
Fax: (973) 345-9110
Website:
Map and Directions
Authorized official contact:
Name: Thompson, William C.A.S.A.C.
Phone: (973) 345-9100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 22583 New Jersey

Profile Details

NPI number 1003030495
LBN Legal business name Challenge Program Of New Jersey Inc
DBA Doing business as
Authorized official Thompson, William C.A.S.A.C.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Aug 13th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003030495 NPPES
New Jersey MEDICAID 8102503
New Jersey MEDICAID 7639309
New Jersey MEDICAID 7512503

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