Organization
CATHEDRAL HEALTH SERVICES, INC
Active
Parent organization
CATHEDRAL HEALTH SERVICES, INC
Other names
Saint Michael's Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHEDRAL HEALTH SERVICES, INC
Authorized official
MR. JOHN GRYWALSKI JR. (EXEC VP & CFO)
(973) 690-3505
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
(973) 877-5672
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
(973) 877-5672
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10713
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312316
MEDICARE PROVIDER #
NJ
05
—
4140508
—
NJ
Enumeration date
10/18/2007
Last updated
10/18/2007
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