Atlanticare Health Services, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Atlantic City, NJ. Organization (NPI-2).
NPI number1407574635
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1407574635
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlanticare Health Services, INC.
- Organization subpart
- Yes
- Enumeration date
- Aug 15, 2022
- Certification date
- May 6, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Atlanticare Health Services - Fqhc (Doing Business As)
Practice location
7 S Ohio Ave Ste 2100Atlantic City, NJ 08401-6711
Phone 609-572-8800 · Fax 609-572-6008
Mailing address
1401 Atlantic Ave Ste 1125Atlantic City, NJ 08401-7001
Phone 609-572-6006
Authorized official
Christopher Carl Apgar
Director Of Finance/Cfo
6095726006
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