| Impactful Care | |
|
923 Haddonfield Rd Ste 300 Cherry Hill NJ 08002-2752 | |
| (856) 581-3209 | |
| (856) 483-8035 |
| Full Name | Impactful Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 923 Haddonfield Rd Ste 300, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Kiplee Telete Bell (CEO) |
| Authorized Official Contact | 8565813209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impactful Care 923 Haddonfield Rd Ste 300 Cherry Hill NJ 08002-2752 Ph: (856) 581-3209 | Impactful Care 923 Haddonfield Rd Ste 300 Cherry Hill NJ 08002-2752 Ph: (856) 581-3209 |
| NPI Number | 1063141927 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/17/2022 |
| Medicare PECOS PAC ID | 3274912894 |
|---|---|
| Medicare Enrollment ID | O20220628000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063141927 | NPI | - | NPPES |
| 0342572 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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