Medallion Care

LBN: Medallion Care
Medallion Care is an health care organization with primary practice located at 957 Highway 33 West Swt 5, Monroe Township NJ 08831. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Medallion Care can be contacted via phone (609) 443-0404, or through Lutz, Michael via phone (609) 443-0404.

Contact Information

Primary practice address
957 Highway 33 West Swt 5 Monroe Township NJ 08831
Phone: (609) 443-0404
Fax: (609) 443-6394
Website:
Map and Directions
Authorized official contact:
Name: Lutz, Michael
Phone: (609) 443-0404

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X New Jersey

Profile Details

NPI number 1205986049
LBN Legal business name Medallion Care
DBA Doing business as
Authorized official Lutz, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1205986049 NPPES
New Jersey MEDICAID 6753108

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