# CATHEDRAL HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CATHEDRAL HEALTH SERVICES, INC
- **Other names:** Saint Michael's Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164611885
- **Legal business name:** CATHEDRAL HEALTH SERVICES, INC
- **Authorized official:** MR. JOHN GRYWALSKI JR. (EXEC VP & CFO)
- **Authorized official phone:** (973) 690-3505

## Contact information

- **Practice address:** 111 CENTRAL AVE, NEWARK, NJ 07102-1909
- **Practice address phone:** (973) 877-5000
- **Practice address fax:** (973) 877-5672
- **Mailing address:** 111 CENTRAL AVE, NEWARK, NJ 07102-1909
- **Mailing address phone:** (973) 877-5000
- **Mailing address fax:** (973) 877-5672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 10713 | NJ | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 10/18/2007