Provider Demographics
NPI:1760545487
Name:SAINT CLARES HOSPITAL
Entity Type:Organization
Organization Name:SAINT CLARES HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGED CARE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-628-6000
Mailing Address - Street 1:109 MIDVALE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1415
Mailing Address - Country:US
Mailing Address - Phone:973-335-5068
Mailing Address - Fax:
Practice Address - Street 1:50 MORRIS AVE
Practice Address - Street 2:SAINT CLARES HOSPITAL
Practice Address - City:DENVILLE
Practice Address - State:NH
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:973-625-7009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04515200282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223319886OtherHOSPITAL TAX ID NUMBER