| Vantage Health System, Inc | |
|
93 W Palisade Ave Englewood NJ 07631-2611 | |
| (201) 385-4400 | |
| (201) 384-7067 |
| Full Name | Vantage Health System, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 93 W Palisade Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Betty Treloar (PATIENT ACCOUNT MANAGER) |
| Authorized Official Contact | 2013854400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Health System, Inc 2 Park Ave Dumont NJ 07628-3004 Ph: (201) 385-4400 | Vantage Health System, Inc 93 W Palisade Ave Englewood NJ 07631-2611 Ph: (201) 385-4400 |
| NPI Number | 1124499033 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124499033 | NPI | - | NPPES |
| 7759509 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2000117 (New Jersey) | Primary |
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