Provider Demographics
NPI:1306105580
Name:MERIDIAN HOSPITLALS COOPERATION DBA JSUMC
Entity type:Organization
Organization Name:MERIDIAN HOSPITLALS COOPERATION DBA JSUMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:WINIFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:732-776-2325
Mailing Address - Street 1:17 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1938
Mailing Address - Country:US
Mailing Address - Phone:732-449-7809
Mailing Address - Fax:
Practice Address - Street 1:1945 HWY 33
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4859
Practice Address - Country:US
Practice Address - Phone:732-776-2325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR06016600282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital