Healthcare Provider Details

I. General information

NPI: 1952463598
Provider Name (Legal Business Name): SAINT CLARE'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MORRIS AVE
DENVILLE NJ
07834-1735
US

IV. Provider business mailing address

50 MORRIS AVE
DENVILLE NJ
07834-1735
US

V. Phone/Fax

Practice location:
  • Phone: 973-625-7009
  • Fax: 973-625-7128
Mailing address:
  • Phone: 973-625-7009
  • Fax: 973-625-7128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number37PC00349400
License Number StateNJ

VIII. Authorized Official

Name: MS. BETHANY MCNAMEE
Title or Position: CASE MANAGEMENT ADMINISTRATOR
Credential: LCSW
Phone: 973-299-5456