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NPI Code Detail

MEDICARE: CHRISTIAN HEALTH CARE CENTER

MEDICARE: CHRISTIAN HEALTH CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital22391NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114916954
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN HEALTH CARE CENTER
Provider Business Mailing Address
First Line : 301 SICOMAC AVE
Second Line :
City : WYCKOFF
State : NJ
Zip : 07481-2159
Country : US
Telephone Number : 201-848-5500
Fax Number : 201-848-5493
Provider Business Practice Location Address
First Line : 301 SICOMAC AVE
Second Line :
City : WYCKOFF
State : NJ
Zip : 07481-2159
Country : US
Telephone Number : 201-848-5500
Fax Number : 201-848-5493
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MR. KEVIN A STAGG
Credential :
Telephone Number : 201-848-5200
Provider Enumeration Date : 10/14/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1104773860 — RUCHI GOSWAMI
Practice Location Address:
301 SICOMAC AVE
WYCKOFF, NJ
07481-2159
Practice Phone: 201-848-5200
Practice Fax:
1427047232 — CHRISTIAN HEALTH CARE CENTER
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1336180819 — MR. CHRISTOPHER R FRIEDLANDER LCSW
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Practice Fax:
1174557300 — GRATSIANA GOLIN M.D.
Practice Location Address:
301 SICOMAC AVE
WYCKOFF, NJ
07481-2159
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Practice Fax: 201-848-7046
1346340288 — THOMAS EDWARD MARTIN LCSW
Practice Location Address:
301 SICOMAC AVE
WYCKOFF, NJ
07481-2159
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1083705214 — RAFIK YOUSSEF M.D.
Practice Location Address:
301 SICOMAC AVE
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Practice Fax: 201-425-4063

Directions to “CHRISTIAN HEALTH CARE CENTER ” Practice Location

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