# ST MARYS HOSPITAL

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

## Provider details

- **NPI number:** 1699748996
- **Authorized official:** MR. THOMAS RANUCCI (REVENUE CYCLE)
- **Authorized official phone:** (973) 594-7836

## Contact information

- **Practice address:** 350 BOULEVARD, PASSAIC, NJ 07055-2840
- **Practice address phone:** (973) 594-7836
- **Practice address fax:** (973) 365-3455
- **Mailing address:** 350 BOULEVARD, PASSAIC, NJ 07055-2840
- **Mailing address phone:** (973) 594-7836
- **Mailing address fax:** (973) 365-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 11606 | NJ | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 03/26/2010