C-Line Community Outreach Services
Clinic/Center, Multi-Specialty in Jersey City, New Jersey
1336431675- Practice location
- 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168
- Phone
- 201-200-1965
- Fax
- 201-200-1826
- Last updated
- May 21, 2014
C-Line Community Outreach Services is a healthcare organization based in Jersey City, NJ. C-Line Community Outreach Services practices in Jersey City, NJ. The NPI Number for C-Line Community Outreach Services is 1336431675 and holds a License No. 37lc00116800 (NJ). The current practice location address for C-Line Community Outreach Services is 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 and can be reached out via phone at 201-200-1965 and via fax at 201-200-1826.
Provider Profile Details
- NPI Number
- 1336431675
- Provider Name
- C-Line Community Outreach Services
- Provider Entity Type
- Organization
- Address
- 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168
- Phone Number
- 201-200-1965
- Fax Number
- 201-200-1826
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Ms. Caroline Nelson · Executive Director · 201-200-1965
- Provider Enumeration Date
- May 4, 2011
- Last Update Date
- May 21, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Martin Luther King Jr Dr
Jersey City, NJ 07305-3168 - City
- Jersey City
- State
- New Jersey
- Zip
- 07305-3168
- Phone Number
- 201-200-1965
- Fax Number
- 201-200-1826
Provider Business Mailing Address Details
- Address
- Po Box 15802
Jersey City, NJ 07305-0802 - City
- Jersey City
- State
- NJ
- Zip
- 07305-0802
- Phone Number
- 201-200-1965
- Fax Number
- 201-200-1826
License Information
- License Number (1)
- 37lc00116800
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 44sc05375200
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- License Number (3)
- 2000071
- License State (3)
- NJ
- Taxonomy (3)
- Clinic/Center, Multi-Specialty · 261QM1300X · 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 C-Line Community Outreach Services?
The NPI number of C-Line Community Outreach Services is 1336431675. It was assigned on May 4, 2011 and is currently active in the NPPES registry.
What is the specialty of C-Line Community Outreach Services?
C-Line Community Outreach Services is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NJ under license number 37lc00116800.
Where does C-Line Community Outreach Services practice?
The practice location is 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168. The office can be reached at 201-200-1965 (phone) or 201-200-1826 (fax).
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 1336431675 directly on the NPPES registry website.