| St. Mary's General Hospital | |
|
350 Boulevard Passaic NJ 07055-2840 | |
| (973) 365-4300 | |
| Not Available |
| Full Name | St. Mary's General Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 350 Boulevard, Passaic, New Jersey |
| Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's General Hospital 350 Boulevard Passaic NJ 07055-2840 Ph: (973) 365-4300 | St. Mary's General Hospital 350 Boulevard Passaic NJ 07055-2840 Ph: (973) 365-4300 |
| NPI Number | 1831722586 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Medicare PECOS PAC ID | 6305066911 |
|---|---|
| Medicare Enrollment ID | O20200408004064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831722586 | NPI | - | NPPES |
| 0737721 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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