| Southern Jersey Family Medical Centers, Inc | |
|
932 S Main St Pleasantville NJ 08232-3646 | |
| (609) 383-0880 | |
| (609) 383-0658 |
| Full Name | Southern Jersey Family Medical Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 932 S Main St, Pleasantville, 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 932 S Main St Pleasantville NJ 08232-3646 Ph: (609) 383-0880 |
| NPI Number | 1578687851 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 0547170763 |
|---|---|
| Medicare Enrollment ID | O20040923000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578687851 | NPI | - | NPPES |
| 0031755 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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