| Centrastate Medical Center Inc. | |
|
901 W Main St 1 South, Psych Dpu Freehold NJ 07728-2537 | |
| (732) 294-7010 | |
| (732) 303-9251 |
| Full Name | Centrastate Medical Center Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 901 W Main St, Freehold, New Jersey |
| Authorized Official Name and Position | Janice Mcavenia (AVP, REVENUE INTEGRITY) |
| Authorized Official Contact | 7322947012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrastate Medical Center Inc. 901 W Main St Freehold NJ 07728-2537 Ph: (732) 294-7010 | Centrastate Medical Center Inc. 901 W Main St 1 South, Psych Dpu Freehold NJ 07728-2537 Ph: (732) 294-7010 |
| NPI Number | 1982636270 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982636270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11302 (New Jersey) | Primary |
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