Meridian Hospitals Corporation

NPI #1164420667 in Brick, New Jersey

Provider Information

NPI Number: 1164420667
Entity Type: Organization
Organization Name: Meridian Hospitals Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: MERIDIAN HOSPITALS CORPORATION
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jul 8, 2005
Last Updated: Nov 16, 2009

Practice Location

Address: 1640 ROUTE 88
Address 2: BRICK MEDICAL ARTS BUILDING SUITE 102
City: Brick
State: New Jersey
ZIP Code: 08724-3036
Phone: (732) 206-8200

Authorized Official

Name: MR. JOHN GANTNER
Title: SENOIR VP, FINANCE & CEO
Phone: (732) 751-7520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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