Active NPIOrganization

County Of Gloucester

Skilled Nursing Facility in Clarksboro, New Jersey

NPI Number1447384680
Practice location
256 County House RD, Clarksboro, NJ 08020-1395
Fax
856-423-3634
Last updated
June 24, 2008

County Of Gloucester is a healthcare organization based in Clarksboro, NJ. County Of Gloucester practices in Clarksboro, NJ. The NPI Number for County Of Gloucester is 1447384680 and holds a License No. 060805 (NJ). The current practice location address for County Of Gloucester is 256 County House RD, Clarksboro, NJ 08020-1395 and can be reached out via phone at 856-423-5318 and via fax at 856-423-3634.

Provider Profile Details

NPI Number
1447384680
Provider Name
County Of Gloucester
Provider Entity Type
Organization
Address
256 County House RD, Clarksboro, NJ 08020-1395
Phone Number
856-423-5318
Fax Number
856-423-3634
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mr. Pete Scaffidi · Accountant · 856-423-5318
Other Names
Shady Lane Nursing Home (Doing Business As)
Provider Enumeration Date
March 16, 2007
Last Update Date
June 24, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
256 County House RD
Clarksboro, NJ 08020-1395
Zip
08020-1395
Phone Number
856-423-5318
Fax Number
856-423-3634
Clarksboro, NJ 08020Get directions →

Provider Business Mailing Address Details

Address
254 County House RD
Clarksboro, NJ 08020-1395
City
Clarksboro
State
NJ
Zip
08020-1395
Phone Number
856-423-5318
Fax Number
856-423-3634

License Information

License Number
060805
License State
NJ
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 County Of Gloucester?

The NPI number of County Of Gloucester is 1447384680. It was assigned on March 16, 2007 and is currently active in the NPPES registry.

What is the specialty of County Of Gloucester?

County Of Gloucester is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NJ under license number 060805.

Where does County Of Gloucester practice?

The practice location is 256 County House RD, Clarksboro, NJ 08020-1395. The office can be reached at 856-423-5318 (phone) or 856-423-3634 (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 1447384680 directly on the NPPES registry website.

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