# PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Mary's Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770901761
- **Authorized official:** TROY A SCHELL ESQ. (SECRETARY, GENERAL COUNSEL)
- **Authorized official phone:** (909) 235-4311

## Contact information

- **Practice address:** 350 BOULEVARD, PASSAIC, NJ 07055-2840
- **Practice address phone:** (973) 365-4300
- **Mailing address:** 3300 E GUASTI RD, THIRD FLOOR, ONTARIO, CA 91761-8655
- **Mailing address phone:** (909) 235-4311
- **Mailing address fax:** (909) 235-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2014
- **Last updated:** 04/22/2014