Evergreen Emergency Solutions, Pc
LBN: Evergreen Emergency Solutions, Pc
Evergreen Emergency Solutions, Pc is an health care organization with primary practice located at 1 Bay Ave Evergreen Emergency Solutions, Pc, Montclair NJ 07042-4837. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Evergreen Emergency Solutions, Pc can be contacted via phone (973) 429-6000, or through Scott, Steven R via phone (919) 425-1565.
Contact Information
Primary practice address
1 Bay Ave Evergreen Emergency Solutions, Pc
Montclair NJ 07042-4837
Phone: (973) 429-6000
Fax: (919) 425-0478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | New Jersey | |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | New Jersey |
Profile Details
| NPI number | 1558349274 |
|---|---|
| LBN Legal business name | Evergreen Emergency Solutions, Pc |
| DBA Doing business as | |
| Authorized official | Scott, Steven R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Nov 20th, 2009 - about 16 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 | 1558349274 | NPPES |
| New Jersey | MEDICAID | 0036552 |
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