Spring Spa Depot Corporation

LBN: Spring Spa Depot Corporation
Spring Spa Depot Corporation is an health care organization with primary practice located at 6 Goble St , Newark NJ 07114-2702. The organization recently has 3 registered licenses in different health care specialties including Managed Care Organizations / Preferred Provider Organization, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Suppliers / Non-Pharmacy Dispensing Site. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty. Spring Spa Depot Corporation can be contacted via phone (888) 412-0570, or through Silega, Garis L via phone (862) 241-1800.

Contact Information

Primary practice address
6 Goble St Newark NJ 07114-2702
Phone: (888) 412-0570
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Silega, Garis L Doctor of Medicine (MD)
Phone: (862) 241-1800

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X New Jersey
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X New Jersey
Suppliers / Non-Pharmacy Dispensing Site 332900000X New Jersey

Profile Details

NPI number 1083972442
LBN Legal business name Spring Spa Depot Corporation
DBA Doing business as
Authorized official Silega, Garis L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2012
Last updated Apr 24th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083972442 NPPES
Other 964725290 DB

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