Provider Demographics
NPI:1053382697
Name:CAPE REGIONAL MEDICAL CENTER, INC
Entity type:Organization
Organization Name:CAPE REGIONAL MEDICAL CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FINANCE & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-463-2047
Mailing Address - Street 1:2 STONE HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2138
Mailing Address - Country:US
Mailing Address - Phone:609-463-2794
Mailing Address - Fax:609-463-2907
Practice Address - Street 1:2 STONE HARBOUR BLVD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210
Practice Address - Country:US
Practice Address - Phone:609-463-2794
Practice Address - Fax:609-463-2907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ10501282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001213000OtherAMERIHEALTH
20011293OtherAMERIHEALTH MERCY
IL5044OtherHEALTHNET
PA0012869960001OtherMEDICAID
NJ4135709Medicaid
FL900384300OtherMEDICAID
CP000003100OtherAMERICHOICE
NY01392754OtherMEDICAID
08057OtherHEALTHPARTNERS
50260OtherAMERIGROUP
CT003033164OtherMEDICAID
1015873OtherHORIZON MERCY NJ