Memorial Hospital Of Burlington County - Psychiatry Unit | |
175 Madison Ave Mount Holly NJ 08060-2038 | |
(609) 267-0700 | |
Not Available |
Full Name | Memorial Hospital Of Burlington County - Psychiatry Unit |
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Speciality | Psychiatric Unit |
Location | 175 Madison Ave, Mount Holly, New Jersey |
Authorized Official Name and Position | Gerry Lowe (VP FOR FINANCE) |
Authorized Official Contact | 8563550604 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memorial Hospital Of Burlington County - Psychiatry Unit 175 Madison Ave Mount Holly NJ 08060-2038 Ph: (609) 267-0700 | Memorial Hospital Of Burlington County - Psychiatry Unit 175 Madison Ave Mount Holly NJ 08060-2038 Ph: (609) 267-0700 |
NPI Number | 1174529846 |
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Provider Enumeration Date | 06/27/2005 |
Last Update Date | 06/22/2022 |
Certification Date | 06/22/2022 |
Medicare PECOS PAC ID | 4284541269 |
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Medicare Enrollment ID | O20120404000900 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174529846 | NPI | - | NPPES |
4138929 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | 10301 (New Jersey) | Primary |
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