St. Mary'S Hospital in Passaic - Residential Treatment Facility, Emotionally Disturbed Children

St. Mary'S Hospital - NPI 1750402202

St. Mary'S Hospital is a Residential Treatment Facility, Emotionally Disturbed Children in Passaic, New Jersey. St. Mary'S Hospital practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for St. Mary'S Hospital is 1750402202. The last update date is 2020-08-22.

St. Mary'S Hospital's current location address is 33 Mineral Spring Ave, Passaic, New Jersey. You can contact this provider via phone number 9734703181. The mailing address for St. Mary'S Hospital is 33 Mineral Spring Ave, Passaic, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization St. Mary'S Hospital
Address 33 Mineral Spring Ave, Passaic, New Jersey
Phone Number 9734703181
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Bodnar Robert
Telephone Number 9733653012

NPI Number Detail

NPI Number 1750402202
Provider Enumeration Date 2007-04-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 33 Mineral Spring Ave
City Passaic
State New Jersey (NJ)
Post Code 70552512
Phone Number 9734703181
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 30407R05Y107
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8368902 NJ --

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FAQs about St. Mary'S Hospital

What is the unique identification code assigned to St. Mary'S Hospital by the Centers for Medicare & Medicaid Services?

The St. Mary'S Hospital has been issued the NPI (National Provider Identifier) 1750402202. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where St. Mary'S Hospital is located?

The St. Mary'S Hospital is situated at the following address: 33 Mineral Spring Ave, Passaic, NJ, 70552512.

What is the St. Mary'S Hospital's area of specialization and corresponding taxonomy classification?

The St. Mary'S Hospital's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1750402202 to St. Mary'S Hospital?

The Centers for Medicare & Medicaid Services assigned the 1750402202 to St. Mary'S Hospital on 2007-04-03.

When was the information related to St. Mary'S Hospital most recently updated or refreshed?

The details pertaining to the St. Mary'S Hospital, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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