Ocean Health Initiatives, Inc. | |
20 Jackson St Ste E Freehold NJ 07728-2476 | |
(732) 363-6655 | |
Not Available |
Full Name | Ocean Health Initiatives, Inc. |
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Speciality | Clinic/Center |
Location | 20 Jackson St Ste E, Freehold, New Jersey |
Authorized Official Name and Position | Nicole Vario (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 7323636655 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ocean Health Initiatives, Inc. 3600 Route 66 Ste 400 Neptune NJ 07753-2605 Ph: (732) 363-6655 | Ocean Health Initiatives, Inc. 20 Jackson St Ste E Freehold NJ 07728-2476 Ph: (732) 363-6655 |
NPI Number | 1194226373 |
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Provider Enumeration Date | 02/23/2018 |
Last Update Date | 02/23/2018 |
Medicare PECOS PAC ID | 2062405277 |
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Medicare Enrollment ID | O20180319000844 |
Identifier | Type | State | Issuer |
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1194226373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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