Broadway Community Health Care, INC
Clinic/Center, Primary Care in Camden, New Jersey
1386984763- Practice location
- 442 S Broadway, Camden, NJ 08103-1246
- Phone
- 856-365-1707
- Fax
- 856-365-1737
- Last updated
- June 24, 2013
Broadway Community Health Care, INC is a healthcare organization based in Camden, NJ. Broadway Community Health Care, INC practices in Camden, NJ. The NPI Number for Broadway Community Health Care, INC is 1386984763 and holds a License No. 26NN10322000 (NJ). The current practice location address for Broadway Community Health Care, INC is 442 S Broadway, Camden, NJ 08103-1246 and can be reached out via phone at 856-365-1707 and via fax at 856-365-1737.
Provider Profile Details
- NPI Number
- 1386984763
- Provider Name
- Broadway Community Health Care, INC
- Provider Entity Type
- Organization
- Address
- 442 S Broadway, Camden, NJ 08103-1246
- Phone Number
- 856-365-1707
- Fax Number
- 856-365-1737
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Patrick Aime Ervilus, PHD, FNP-C, PMHNP-C · Provider · 856-365-1707
- Provider Enumeration Date
- February 22, 2013
- Last Update Date
- June 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 442 S Broadway
Camden, NJ 08103-1246 - City
- Camden
- State
- New Jersey
- Zip
- 08103-1246
- Phone Number
- 856-365-1707
- Fax Number
- 856-365-1737
Provider Business Mailing Address Details
- Address
- 442 S Broadway
Camden, NJ 08103-1246 - City
- Camden
- State
- NJ
- Zip
- 08103-1246
- Phone Number
- 856-365-1707
- Fax Number
- 856-365-1737
License Information
- License Number
- 26NN10322000
- License State
- NJ
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · 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 Broadway Community Health Care, INC?
The NPI number of Broadway Community Health Care, INC is 1386984763. It was assigned on February 22, 2013 and is currently active in the NPPES registry.
What is the specialty of Broadway Community Health Care, INC?
Broadway Community Health Care, INC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number 26NN10322000.
Where does Broadway Community Health Care, INC practice?
The practice location is 442 S Broadway, Camden, NJ 08103-1246. The office can be reached at 856-365-1707 (phone) or 856-365-1737 (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 1386984763 directly on the NPPES registry website.