Community Health And Immunization Services
Community Health Worker in Englewood, New Jersey
1215340310- Practice location
- 401A S Van Brunt St, Suite 202B, Englewood, NJ 07631-4600
- Phone
- 201-603-9996
- Fax
- —
- Last updated
- October 8, 2021
Community Health And Immunization Services is a healthcare organization based in Englewood, NJ. Community Health And Immunization Services practices in Englewood, NJ. The NPI Number for Community Health And Immunization Services is 1215340310 and holds a License No. 25MB05677400 (NJ). The current practice location address for Community Health And Immunization Services is 401A S Van Brunt St, Suite 202B, Englewood, NJ 07631-4600 and can be reached out via phone at 201-603-9996.
Provider Profile Details
- NPI Number
- 1215340310
- Provider Name
- Community Health And Immunization Services
- Provider Entity Type
- Organization
- Address
- 401A S Van Brunt St, Suite 202B, Englewood, NJ 07631-4600
- Phone Number
- 201-603-9996
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Organization Subpart
- No
- Authorized Official
- Rebekah Suazo · Medical Billing Supervisor · 480-646-9099
- Provider Enumeration Date
- June 5, 2014
- Last Update Date
- October 8, 2021
- Certification Date
- October 8, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401A S Van Brunt St
Suite 202B
Englewood, NJ 07631-4600 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-4600
- Phone Number
- 201-603-9996
Provider Business Mailing Address Details
- Address
- 668 N 44TH St Ste 100W
Phoenix, AZ 85008-6507 - City
- Phoenix
- State
- AZ
- Zip
- 85008-6507
- Phone Number
- 877-358-8646
License Information
- License Number
- 25MB05677400
- License State
- NJ
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Community Health And Immunization Services?
The NPI number of Community Health And Immunization Services is 1215340310. It was assigned on June 5, 2014 and is currently active in the NPPES registry.
What is the specialty of Community Health And Immunization Services?
Community Health And Immunization Services is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in NJ under license number 25MB05677400.
Where does Community Health And Immunization Services practice?
The practice location is 401A S Van Brunt St, Suite 202B, Englewood, NJ 07631-4600. The office can be reached at 201-603-9996 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215340310 directly on the NPPES registry website.