1104426097 NPI number — HMH HOSPITALS CORPORATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104426097 NPI number — HMH HOSPITALS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HMH HOSPITALS CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104426097
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HMH HOSPITALS CORPORATION, ATTN: BEHAVIORAL HEALTH CRED
Provider Second Line Business Mailing Address:
1200 JUMPING BROOK ROAD, BLDG 5, SUITE 201
Provider Business Mailing Address City Name:
NEPTUNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07753
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-643-4372
Provider Business Mailing Address Fax Number:
732-643-4376

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 RIVERVIEW PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED BANK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-643-4372
Provider Business Practice Location Address Fax Number:
732-643-4376
Provider Enumeration Date:
10/29/2020

Additional Information

Authorized Official

Authorized Official Last Name:
KOCZAN
Authorized Official First Name:
MARILYN
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VP REVENUE CYCLE OPERATIONS
Authorized Official Telephone Number:
732-897-7800

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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