Saint Michael'S Medical Center

LBN: Saint Michael'S Medical Center, Inc.
Saint Michael'S Medical Center is an health care organization with primary practice located at 111 Central Avenue , Newark NJ 07102-1909. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Saint Michael'S Medical Center, Inc. can be contacted via phone (973) 877-5000, or through Pettigrew, Dennis A via phone (973) 854-3588.

Contact Information

Primary practice address
111 Central Avenue Newark NJ 07102-1909
Phone: (973) 877-5000
Fax: (973) 877-5367
Website:
Map and Directions
Authorized official contact:
Name: Pettigrew, Dennis A
Phone: (973) 854-3588

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 10713 New Jersey
Hospital Units / Psychiatric Unit 273R00000X 10713 New Jersey
Hospitals / General Acute Care Hospital 282N00000X 10713 New Jersey

Profile Details

NPI number 1699777458
LBN Legal business name Saint Michael'S Medical Center, Inc.
DBA Doing business as Saint Michael'S Medical Center
Authorized official Pettigrew, Dennis A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 24th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699777458 NPPES
New Jersey MEDICAID 4140508

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