| Southern Jersey Family Medical Centers, Inc. | |
|
600 Pemberton Browns Mills Rd Pemberton NJ 08068-1537 | |
| (609) 894-1100 | |
| (609) 894-1110 |
| Full Name | Southern Jersey Family Medical Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Pemberton Browns Mills Rd, Pemberton, New Jersey |
| Authorized Official Name and Position | Linda Flake (PRESIDENT CEO) |
| Authorized Official Contact | 6095670434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Jersey Family Medical Centers, Inc. 1 Executive Drive 701a Suite 400 Marlton NJ 08053-4144 Ph: (609) 567-0434 | Southern Jersey Family Medical Centers, Inc. 600 Pemberton Browns Mills Rd Pemberton NJ 08068-1537 Ph: (609) 894-1100 |
| NPI Number | 1205951019 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 0547170763 |
|---|---|
| Medicare Enrollment ID | O20050323001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205951019 | NPI | - | NPPES |
| 0071927 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Legacy Treatment Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 Phone: 609-288-3067 Fax: 609-265-1895 |