Saint Joseph'S Mercy Care Services, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Atlanta, GA. Organization (NPI-2).
NPI number1144462003
StatusActive
Last updated in NPPESMar 24, 2009
Details
- NPI
- 1144462003
- Entity type
- Organization (NPI-2)
- Legal business name
- Saint Joseph'S Mercy Care Services, INC.
- Organization subpart
- No
- Enumeration date
- Mar 24, 2009
- Last updated
- Mar 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | GA | Yes |
Other names
- Saint Joseph'S Mercy Care - Jefferson Place (Doing Business As)
Practice location
1135 Jefferson St NwAtlanta, GA 30318-8009
Phone 678-843-8500
Mailing address
424 Decatur St SeAtlanta, GA 30312-1848
Phone 678-843-8600 · Fax 678-843-8601
Authorized official
Thomas E. Andrews
President
6788438503
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