Organization
COLUMBUS HOSPITAL LTACH LLC
Active
Parent organization
COLUMBUS HOSPITAL LTACH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBUS HOSPITAL LTACH LLC
Authorized official
RICHARD BURGUILLOS (CFO)
(973) 587-7707
Entity
Organization
Contact information
Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 587-7777
(973) 587-7830
Mailing address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 497-7770
(973) 497-7785
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
24009
NJ
282N00000X
General Acute Care Hospital
1396
NJ
Other
Enumeration date
05/28/2013
Last updated
03/14/2014
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