| Sbhc Mobile Van | |
|
275 Hobart St Perth Amboy NJ 08861-3396 | |
| (732) 376-9333 | |
| (732) 324-5765 |
| Full Name | Sbhc Mobile Van |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 275 Hobart St, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Jack O'leary (CEO) |
| Authorized Official Contact | 7323769333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbhc Mobile Van Po Box 1220 Attn: Credentialing/hr Perth Amboy NJ 08862-1220 Ph: (732) 376-6635 | Sbhc Mobile Van 275 Hobart St Perth Amboy NJ 08861-3396 Ph: (732) 376-9333 |
| NPI Number | 1710304563 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710304563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Jersey) | Primary |
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