Newark Dept Of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr
LBN: City Of Newark
Newark Dept Of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr is an health care organization with primary practice located at 110 William St , Newark NJ 07102-1304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
City Of Newark can be contacted via phone (973) 733-7558, or through Fadahunsi, Oluyinka via phone (973) 733-7558.
Contact Information
Primary practice address
110 William St
Newark NJ 07102-1304
Phone: (973) 733-7558
Fax: (973) 733-4328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 7082 | New Jersey |
Profile Details
| NPI number | 1851757645 |
|---|---|
| LBN Legal business name | City Of Newark |
| DBA Doing business as | Newark Dept Of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr |
| Authorized official | Fadahunsi, Oluyinka |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2016 |
| Last updated | Jan 25th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851757645 | NPPES |
| New Jersey | MEDICAID | 0034002 |
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