| Completecare Health Network | |
|
105 Manheim Ave Bridgeton NJ 08302-2139 | |
| (856) 451-4700 | |
| (856) 794-7183 |
| Full Name | Completecare Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Manheim Ave, Bridgeton, New Jersey |
| Authorized Official Name and Position | James C Edwards (CEO, PRESIDENT) |
| Authorized Official Contact | 8564514700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Completecare Health Network 14 N Pearl St Bridgeton NJ 08302-1902 Ph: (856) 451-4700 | Completecare Health Network 105 Manheim Ave Bridgeton NJ 08302-2139 Ph: (856) 451-4700 |
| NPI Number | 1720198740 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 9335040419 |
|---|---|
| Medicare Enrollment ID | O20101118000928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720198740 | NPI | - | NPPES |
| 0044806 | Medicaid | NJ |
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