Src Pending Consult Management

LBN: Src Pending Consult Management
Src Pending Consult Management is an health care organization with primary practice located at 5250 Maryland Ave , Fort Dix NJ 08640-5058. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Src Pending Consult Management can be contacted via phone (609) 562-6312, or through Cherry, Christala via phone (609) 562-6312.

Contact Information

Primary practice address
5250 Maryland Ave Fort Dix NJ 08640-5058
Phone: (609) 562-6312
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cherry, Christala RN, BSN
Phone: (609) 562-6312

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 26NR09534400 New Jersey

Profile Details

NPI number 1366433534
LBN Legal business name Src Pending Consult Management
DBA Doing business as
Authorized official Cherry, Christala RN, BSN
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Aug 22nd, 2020 - about 4 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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