Organization
ST MARY'S HOSPITAL
Active
Parent organization
ST MARY'S HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARY'S HOSPITAL
Authorized official
MR. THOMAS RANUCCI (REVENUE CYCLE DIRECTOR)
(973) 594-7836
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 470-3012
Mailing address
350 BOULEVARD, PASSAIC, NJ 07055
(973) 594-7836
(973) 365-4545
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
282N00000X
General Acute Care Hospital
Primary
FACILITY#11606
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4135300
—
NJ
Enumeration date
04/29/2008
Last updated
03/26/2009
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