Trinitas Hospital-intermediate Ddd | |
655 E Jersey St Intermediate Ddd Elizabeth NJ 07206-1259 | |
(908) 994-5000 | |
Not Available |
Full Name | Trinitas Hospital-intermediate Ddd |
---|---|
Speciality | Psychiatric Unit |
Location | 655 E Jersey St, Elizabeth, New Jersey |
Authorized Official Name and Position | Gary Horan (PRESIDENT /CEO) |
Authorized Official Contact | 9089945000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trinitas Hospital-intermediate Ddd 225 Williamson St Intermediate Ddd Elizabeth NJ 07202-3625 Ph: (908) 994-5000 | Trinitas Hospital-intermediate Ddd 655 E Jersey St Intermediate Ddd Elizabeth NJ 07206-1259 Ph: (908) 994-5000 |
NPI Number | 1144390949 |
---|---|
Provider Enumeration Date | 11/09/2006 |
Last Update Date | 04/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144390949 | NPI | - | NPPES |
0090387 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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