Provider Demographics
NPI:1306659560
Name:CITY OF ELIZABETH DEPARTMENT OF HEALTH AND HUMAN SERVICES
Entity type:Organization
Organization Name:CITY OF ELIZABETH DEPARTMENT OF HEALTH AND HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:J. CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLWAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-820-4170
Mailing Address - Street 1:50 WINFIELD SCOTT PLAZA ROOM G5
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2462
Mailing Address - Country:US
Mailing Address - Phone:908-820-4089
Mailing Address - Fax:908-820-4290
Practice Address - Street 1:50 WINFIELD SCOTT PLAZA
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2462
Practice Address - Country:US
Practice Address - Phone:908-820-4089
Practice Address - Fax:908-820-4290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus