| 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 | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services - Saint Clare's Llc 130 Powerville Rd Boonton Township NJ 07005-8705 Ph: (973) 316-1800 | Prime Healthcare Services - Saint Clare's Llc 130 Powerville Rd Boonton Township NJ 07005-8705 Ph: (973) 316-1800 |
| NPI Number | 1598472615 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598472615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Prime Healthcare Services - Saint Clare's Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 130 Powerville Rd, Boonton Township, NJ 07005 Phone: 973-316-1800 |