| Humc Opco Llc | |
|
308 Willow Ave Hoboken NJ 07030-3808 | |
| (201) 418-1000 | |
| (201) 418-1053 |
| Full Name | Humc Opco Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 308 Willow Ave, Hoboken, New Jersey |
| Authorized Official Name and Position | Vincent Riccitelli (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Contact | 2014181000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humc Opco Llc 308 Willow Ave Hoboken NJ 07030-3808 Ph: (201) 418-1000 | Humc Opco Llc 308 Willow Ave Hoboken NJ 07030-3808 Ph: (201) 418-1000 |
| NPI Number | 1053576678 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 08/24/2011 |
| Medicare PECOS PAC ID | 0840461075 |
|---|---|
| Medicare Enrollment ID | O20111006000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053576678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 10908 (New Jersey) | Primary |
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