Excalibur Healthcare

LBN: Excalibur Healthcare
Excalibur Healthcare is an health care organization with primary practice located at 1000 S Lenola Rd Building One, Suite 105, Maple Shade NJ 08052-1630. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Excalibur Healthcare can be contacted via phone (856) 231-4300, or through Lebron, Gennie via phone (856) 231-4300.

Contact Information

Primary practice address
1000 S Lenola Rd Building One, Suite 105 Maple Shade NJ 08052-1630
Phone: (856) 231-4300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lebron, Gennie
Phone: (856) 231-4300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 25MA04604900 New Jersey

Profile Details

NPI number 1659727741
LBN Legal business name Excalibur Healthcare
DBA Doing business as
Authorized official Lebron, Gennie
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2016
Last updated May 9th, 2016 - about 8 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 1659727741 NPPES
New Jersey Other G8865226 MEDICARE PTAN

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