Active NPIOrganization

Prime Healthcare Services - St. Mary'S Passaic, LLC

Community Based Residential Treatment Facility, Mental Illness in Passaic, New Jersey

NPI Number1689093841
Practice location
530 Main Ave, Passaic, NJ 07055-5700
Fax
—
Last updated
April 15, 2014

Prime Healthcare Services - St. Mary'S Passaic, LLC is a healthcare organization based in Passaic, NJ. Prime Healthcare Services - St. Mary'S Passaic, LLC practices in Passaic, NJ. The NPI Number for Prime Healthcare Services - St. Mary'S Passaic, LLC is 1689093841. The current practice location address for Prime Healthcare Services - St. Mary'S Passaic, LLC is 530 Main Ave, Passaic, NJ 07055-5700 and can be reached out via phone at 973-470-3168.

Provider Profile Details

NPI Number
1689093841
Provider Name
Prime Healthcare Services - St. Mary'S Passaic, LLC
Provider Entity Type
Organization
Address
530 Main Ave, Passaic, NJ 07055-5700
Phone Number
973-470-3168
Organization Subpart
No
Authorized Official
Troy A. Schell, ESQ · Secretary, General Counsel · 909-235-4311
Other Names
St. Mary'S Hospital - Seton Comprehensive Treatment Center (Doing Business As)
Provider Enumeration Date
April 15, 2014
Last Update Date
April 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
530 Main Ave
Passaic, NJ 07055-5700
Zip
07055-5700
Phone Number
973-470-3168
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
3300 E Guasti RD
Third Floor
Ontario, CA 91761-8655
City
Ontario
State
CA
Zip
91761-8655
Phone Number
909-235-4311
Fax Number
909-235-4419

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Prime Healthcare Services - St. Mary'S Passaic, LLC?

The NPI number of Prime Healthcare Services - St. Mary'S Passaic, LLC is 1689093841. It was assigned on April 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Prime Healthcare Services - St. Mary'S Passaic, LLC?

Prime Healthcare Services - St. Mary'S Passaic, LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).

Where does Prime Healthcare Services - St. Mary'S Passaic, LLC practice?

The practice location is 530 Main Ave, Passaic, NJ 07055-5700. The office can be reached at 973-470-3168 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689093841 directly on the NPPES registry website.

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