Organization
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC LLC
Active
Organization
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC LLC
Active
Other names
St. Mary's General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Mailing address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0737721
—
NJ
Enumeration date
02/20/2020
Last updated
06/01/2021
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