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Organization
COLUMBUS HOSPITAL LTACH, LLC
Active
Organization
COLUMBUS HOSPITAL LTACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BURGUILLOS (CFO)
(973) 587-7707
Entity
Organization
Contact information
Practice address
495 N 13TH STREET, NEWARK, NJ 07107-1317
(973) 587-7777
(973) 587-7830
Mailing address
495 N 13TH STREET, NEWARK, NJ 07107-1317
(973) 587-7777
(973) 587-7830
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
24009
NJ
Other
Enumeration date
10/12/2011
Last updated
10/17/2011
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