Organization
GREENVILLE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GOLDBERG (CHIEF FINANCIAL OFFICER)
(201) 521-5920
Entity
Organization
Contact information
Practice address
1825 KENNEDY BOULEVARD, ECECUTIVE OFFICE, JERSEY CITY, NJ 07305-2106
(201) 770-3709
(201) 770-3750
Mailing address
55 MEADOWLANDS PKWY, 2ND FLOOR FINANCE DEPARTMENT, SECAUCUS, NJ 07094-2977
(201) 770-3709
(201) 770-3750
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10903
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004311000
AMERIHEALTH
NJ
01
—
0013075
AETNA US HEALTHCARE
NJ
01
—
1012309
HORIZON NJ HLTHCARE MERCY
NH
01
—
1015734
HORIZON NJ HLTHCARE MERCY
NJ
01
—
1015735
HORIZON NJ HLTHCARE MERCY
NJ
01
—
1015736
HORIZON NJ HLTHCARE MERCY
NJ
01
—
310105
HORIZON BLUE CROSS OF NJ
NJ
01
—
4140702
CHARITY CARE UNYSIS
NJ
05
—
4140702
—
NJ
01
—
99751
AMERIGROUP AMERICAID
NJ
01
—
H05252
OXFORD
NJ
01
—
HU0000045-02
AMERICHOICE MHS
NJ
01
—
J31132
HEALTH NET PHS
NJ
Enumeration date
11/08/2006
Last updated
04/29/2011
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