| St. Mary's Hospital | |
|
530 Main Ave Passaic NJ 07055-5700 | |
| (973) 470-3165 | |
| Not Available |
| Full Name | St. Mary's Hospital |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 530 Main Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Robert Bodnar (DIRECTOR OR PATIENT ACCOUNTS) |
| Authorized Official Contact | 9733653012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Hospital 350 Boulevard Passaic NJ 07055-2840 Ph: (973) 365-3012 | St. Mary's Hospital 530 Main Ave Passaic NJ 07055-5700 Ph: (973) 470-3165 |
| NPI Number | 1104947654 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104947654 | NPI | - | NPPES |
| 8801011 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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