| Trinitas Hospital-intermediate Ddd | |
|
655 E Jersey St Intermediate Ddd Elizabeth NJ 07206-1259 | |
| (908) 994-5000 | |
| Not Available |
| Full Name | Trinitas Hospital-intermediate Ddd |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 655 E Jersey St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Gary Horan (PRESIDENT /CEO) |
| Authorized Official Contact | 9089945000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinitas Hospital-intermediate Ddd 225 Williamson St Intermediate Ddd Elizabeth NJ 07202-3625 Ph: (908) 994-5000 | Trinitas Hospital-intermediate Ddd 655 E Jersey St Intermediate Ddd Elizabeth NJ 07206-1259 Ph: (908) 994-5000 |
| NPI Number | 1144390949 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144390949 | NPI | - | NPPES |
| 0090387 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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