Organization · Type 2 NPI
Visiting Nurse Association of Central Jersey Community Health Center I
Federally Qualified Health Center (FQHC) · Keansburg, NJ
NPI number
1104964550
Active
Practice location
100 Main Street
Keansburg, NJ 07734
Fax (732) 787-4079
Mailing address
1301 Main Street
Asbury Park, NJ 07712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1104964550
Visiting Nurse Association of Central Jersey Community Health Center I's National Provider Identifier is 1104964550, issued on Feb 1, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Keansburg, NJ. The record was last updated on Dec 4, 2017.