Provider Demographics
NPI:1285843334
Name:THE VALLEY HOSPITAL
Entity Type:Organization
Organization Name:THE VALLEY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. FISCAL SUPPORT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCURIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-291-6001
Mailing Address - Street 1:223 NORTH VAN DIEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450
Mailing Address - Country:US
Mailing Address - Phone:201-447-8000
Mailing Address - Fax:
Practice Address - Street 1:223 NORTH VAN DIEN AVENUE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:201-447-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital