Challenge Program Of New Jersey Inc in Paterson - Clinic/center
Challenge Program Of New Jersey Inc - NPI 1003030495
Challenge Program Of New Jersey Inc is a Clinic/center in Paterson, New Jersey. Challenge Program Of New Jersey Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Challenge Program Of New Jersey Inc is 1003030495. The last update date is 2007-08-13.
Challenge Program Of New Jersey Inc's current location address is 5 Colt St, Paterson, New Jersey. You can contact this provider via phone number 9733459100 and fax number 9733459110. The mailing address for Challenge Program Of New Jersey Inc is 5 Colt St, Paterson, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Challenge Program Of New Jersey Inc |
|---|---|
| Address | 5 Colt St, Paterson, New Jersey |
| Phone Number | 9733459100 |
| Fax Number | 9733459110 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Thompson William |
| Credentials | C.A.S.A.C. |
| Telephone Number | 9733459100 |
NPI Number Detail
| NPI Number | 1003030495 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 5 Colt St |
|---|---|
| City | Paterson |
| State | New Jersey (NJ) |
| Post Code | 75051401 |
| Phone Number | 9733459100 |
| Fax Number | 9733459110 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 22583 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8102503 | NJ | -- | |
| 7639309 | NJ | -- | |
| 7512503 | NJ | -- |
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What is the unique 10-digit identification code issued to Challenge Program Of New Jersey Inc by the Centers for Medicare & Medicaid Services?
The Challenge Program Of New Jersey Inc has been assigned the NPI (National Provider Identifier) 1003030495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Challenge Program Of New Jersey Inc is located?
The Challenge Program Of New Jersey Inc is situated at the following address: 5 Colt St, Paterson, NJ, 75051401.
What is the Challenge Program Of New Jersey Inc's specialty and taxonomy code?
The Challenge Program Of New Jersey Inc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
When did the Challenge Program Of New Jersey Inc receive its 1003030495?
The Challenge Program Of New Jersey Inc was issued its 1003030495 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Challenge Program Of New Jersey Inc's details last updated?
The information pertaining to the Challenge Program Of New Jersey Inc, including its address, specialty, and other details, was most recently updated on 2007-08-13.