| Vantage Health System, Inc. | |
|
93 W Palisade Ave Englewood NJ 07631-2611 | |
| (201) 567-5500 | |
| (201) 567-9335 |
| Full Name | Vantage Health System, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 93 W Palisade Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Victoria L. Sidrow (PRESIDENT & CEO) |
| Authorized Official Contact | 2013854400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Health System, Inc. 93 W Palisade Ave Englewood NJ 07631-2611 Ph: (201) 567-5500 | Vantage Health System, Inc. 93 W Palisade Ave Englewood NJ 07631-2611 Ph: (201) 567-5500 |
| NPI Number | 1144354861 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 05/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144354861 | NPI | - | NPPES |
| 0005916 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 923550204 (New Jersey) | Primary |
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