| Prime Healthcare Services - Saint Clare's Llc | |
|
130 Powerville Rd Boonton Township NJ 07005-8705 | |
| (973) 316-1800 | |
| Not Available |
| Full Name | Prime Healthcare Services - Saint Clare's Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 130 Powerville Rd, Boonton Township, New Jersey |
| Authorized Official Name and Position | Michael Heather (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9092354400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services - Saint Clare's Llc 3300 E Guasti Rd Ontario CA 91761-8655 Ph: (909) 235-4400 | Prime Healthcare Services - Saint Clare's Llc 130 Powerville Rd Boonton Township NJ 07005-8705 Ph: (973) 316-1800 |
| NPI Number | 1902286172 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Medicare PECOS PAC ID | 6406165372 |
|---|---|
| Medicare Enrollment ID | O20151211001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902286172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Prime Healthcare Services - Saint Clare's Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Powerville Rd, Boonton Township, NJ 07005 Phone: 973-316-1800 |