| Montclair Hospital Llc | |
|
1 Bay Ave Montclair NJ 07042-4837 | |
| (973) 429-6451 | |
| Not Available |
| Full Name | Montclair Hospital Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Bay Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Joe Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 8664659222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Hospital Llc 1 Bay Ave Montclair NJ 07042-4837 Ph: (973) 429-6000 | Montclair Hospital Llc 1 Bay Ave Montclair NJ 07042-4837 Ph: (973) 429-6451 |
| NPI Number | 1841444718 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 7810092814 |
|---|---|
| Medicare Enrollment ID | O20210525002424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841444718 | NPI | - | NPPES |
| 0135038 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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