| Atlanticare Health Services - Fqhc | |
|
7 S Ohio Ave Ste 2100 Atlantic City NJ 08401-6711 | |
| (609) 572-8800 | |
| (609) 572-6008 |
| Full Name | Atlanticare Health Services - Fqhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7 S Ohio Ave Ste 2100, Atlantic City, New Jersey |
| Authorized Official Name and Position | Christopher Carl Apgar (DIRECTOR OF FINANCE/CFO) |
| Authorized Official Contact | 6095726006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanticare Health Services - Fqhc 1401 Atlantic Ave Ste 1125 Atlantic City NJ 08401-7001 Ph: (609) 572-6006 | Atlanticare Health Services - Fqhc 7 S Ohio Ave Ste 2100 Atlantic City NJ 08401-6711 Ph: (609) 572-8800 |
| NPI Number | 1407574635 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407574635 | NPI | - | NPPES |
| 0116599 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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