# BAYSHORE COMMUNITY HOSPITAL

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

## Provider details

- **NPI number:** 1508835125
- **Authorized official:** MR. MICHAEL KEEN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (732) 739-5907

## Contact information

- **Practice address:** 727 N BEERS ST, HOLMDEL, NJ 07733-1514
- **Practice address phone:** (732) 735-5900
- **Practice address fax:** (732) 888-7324
- **Mailing address:** 727 N BEERS ST, HOLMDEL, NJ 07733-1514
- **Mailing address phone:** (732) 735-5900
- **Mailing address fax:** (732) 888-7324

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 05/16/2008
