| Atlanticare Health Services, Inc. | |
|
1400 N Albany Ave Ste G201a2 Atlantic City NJ 08401-1208 | |
| (609) 345-8336 | |
| Not Available |
| Full Name | Atlanticare Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 N Albany Ave Ste G201a2, Atlantic City, New Jersey |
| Authorized Official Name and Position | Sandy Festa (EXECUTIVE DIRECTOR - FQHC) |
| Authorized Official Contact | 6095726051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanticare Health Services, Inc. 1401 Atlantic Ave Ste 1125 Atlantic City NJ 08401-7001 Ph: (609) 572-6051 | Atlanticare Health Services, Inc. 1400 N Albany Ave Ste G201a2 Atlantic City NJ 08401-1208 Ph: (609) 345-8336 |
| NPI Number | 1396485074 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Medicare PECOS PAC ID | 7911810916 |
|---|---|
| Medicare Enrollment ID | O20230907003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396485074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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