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PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC NPI 1699291377


NPI Information

NPI: 1699291377
Provider Name: PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC

Doing Business As: SAINT CLARE'S HEALTH - LAKELAND CARDIOLOGY CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
765 ROUTE 10 STE 104
RANDOLPH, NJ
ZIP 07869
Phone: (973) 989-2566
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PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC is a clinic center in Randolph, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC NPI is 1699291377. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Clare's Health - Lakeland Cardiology Center.

The provider's business location address is:

765 ROUTE 10 STE 104
RANDOLPH, NJ
ZIP 07869-925
Phone: (973) 989-2566
Fax: (973) 989-5669

The provider's authorized official is Christopher Doan .
The authorized official title is Cheif Compliance Counsel and has the following contact phone number (909) 235-4307.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 8/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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