# MONTCLAIR HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TCU
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437303351
- **Authorized official:** JOE JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (866) 465-9222

## Contact information

- **Practice address:** 1 BAY AVE, MONTCLAIR, NJ 07042-4837
- **Practice address phone:** (973) 429-6451
- **Mailing address:** 1 BAY AVE, MONTCLAIR, NJ 07042-4837
- **Mailing address phone:** (973) 429-6000
- **Mailing address fax:** (973) 429-6209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 06/11/2013