| Tri-city Peoples Corporation | |
|
55 Washington Street East Orange NJ 07017-1433 | |
| (973) 676-5506 | |
| (973) 676-5516 |
| Full Name | Tri-city Peoples Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 55 Washington Street, East Orange, New Jersey |
| Authorized Official Name and Position | Toni L Caldwell (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 9736765506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Peoples Corporation 55 Washington Street East Orange NJ 07017-1433 Ph: (973) 676-5506 | Tri-city Peoples Corporation 55 Washington Street East Orange NJ 07017-1433 Ph: (973) 676-5506 |
| NPI Number | 1558576314 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 04/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558576314 | NPI | - | NPPES |
| 7442602 | Medicaid | NJ | |
| 0018643 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 25MA04859100 (New Jersey) | Secondary |
| 261Q00000X | Clinic/center | 25MA04859100 (New Jersey) | Primary |
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