| Atlanticare Mission Health Care Galloway | |
|
54 W Jimmie Leeds Rd Galloway NJ 08205-9438 | |
| (609) 404-7300 | |
| (609) 572-6008 |
| Full Name | Atlanticare Mission Health Care Galloway |
|---|---|
| Speciality | Clinic/Center |
| Location | 54 W Jimmie Leeds Rd, Galloway, New Jersey |
| Authorized Official Name and Position | Sandy Festa (EXEC DIR FQHC) |
| Authorized Official Contact | 6095726051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanticare Mission Health Care Galloway 1401 Atlantic Ave Ste 1125 Atlantic City NJ 08401-7001 Ph: (609) 572-6051 | Atlanticare Mission Health Care Galloway 54 W Jimmie Leeds Rd Galloway NJ 08205-9438 Ph: (609) 404-7300 |
| NPI Number | 1043700495 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 03/18/2022 |
| Medicare PECOS PAC ID | 7911810916 |
|---|---|
| Medicare Enrollment ID | O20220512001417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043700495 | NPI | - | NPPES |
| 0028592 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Jersey) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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