COLUMBUS HOSPITAL LTACH LLC; NPI #1508203878

Contact Information

COLUMBUS HOSPITAL LTACH LLC

495 N 13TH ST
NEWARK, NJ 07107-1317

Phone: 973-587-7777
Fax: 973-587-7830
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Hospital	282E00000X	A0[7]	Hospital-Long-Term (PPS excluded)
General Acute Care Hospital	282N00000X	A0[7]	Hospital-General

Indicates primary specialty

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NPI Profile & details for COLUMBUS HOSPITAL LTACH LLC

NPI # 1508203878

LBN Legal business name COLUMBUS HOSPITAL LTACH LLC

Authorized official RICHARD BURGUILLOS - (CFO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/28/2013

Last updated 03/14/2014 - About 12 years ago

Identifiers

NJ	License #	1396
NJ	License #	24009

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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