| Highlands Health Van | |
|
17 S Warren St Dover NJ 07801-4506 | |
| (973) 886-0815 | |
| (973) 267-7978 |
| Full Name | Highlands Health Van |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 S Warren St, Dover, New Jersey |
| Authorized Official Name and Position | Peter Bebel (CFO) |
| Authorized Official Contact | 9733289100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highlands Health Van 18 W Blackwell St Dover NJ 07801-3841 Ph: (973) 328-9100 | Highlands Health Van 17 S Warren St Dover NJ 07801-4506 Ph: (973) 886-0815 |
| NPI Number | 1750618260 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 12/15/2023 |
| Medicare PECOS PAC ID | 2365448461 |
|---|---|
| Medicare Enrollment ID | O20120626000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750618260 | NPI | - | NPPES |
| 0214019 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 24344 (New Jersey) | Primary |
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