# PRIME HEALTHCARE FOUNDATION - SALEM HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215478904
- **Authorized official:** CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL)
- **Authorized official phone:** (909) 235-4307

## Contact information

- **Practice address:** 310 SALEM WOODSTOWN RD, 2ND FLOOR, 2 EAST, SALEM, NJ 08079-2064
- **Practice address phone:** (856) 678-8500
- **Practice address fax:** (856) 678-5180
- **Mailing address:** 310 SALEM WOODSTOWN RD, 2ND FLOOR, 2 EAST, SALEM, NJ 08079-2064
- **Mailing address phone:** (856) 678-8500
- **Mailing address fax:** (856) 678-5180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2017
- **Last updated:** 03/14/2017