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Organization

ALLCARE MEDICAL SNJ, LLC

Active
Parent organization
PASSAIC HEALTHCARE SERVICES LLC
Other names
Allcare Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
PASSAIC HEALTHCARE SERVICES LLC
Authorized official
MR. WINTHROP HAYES (PRESIDENT)
(800) 244-4660
Entity
Organization

Contact information

Practice address
89 S COMMERCE WAY, SUITE 940, BETHLEHEM, PA 18017-8952
(855) 856-4433
(855) 856-4477
Mailing address
89 S COMMERCE WAY, SUITE 940, BETHLEHEM, PA 18017-8952
(855) 856-4433
(855) 856-4477

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001138000
KEYSTONE HEALTH PLANS
NJ
05
0016829
NJ
05
1009356340003
PA
01
235920
AMERIGROUP
NJ
01
41745
UNIVERSITY HEALTHPLANS
NJ
01
81747
NORTHWOOD
NJ
01
MI0000352-02
AMERICHOICE
NJ
Enumeration date
11/14/2005
Last updated
01/28/2015
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