| Completecare Health Network | |
|
265 Irving Ave Bridgeton NJ 08302-2121 | |
| (856) 451-4700 | |
| (856) 451-8685 |
| Full Name | Completecare Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 265 Irving 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 265 Irving Ave Bridgeton NJ 08302-2121 Ph: (856) 451-4700 |
| NPI Number | 1215242516 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 9335040419 |
|---|---|
| Medicare Enrollment ID | O20110120000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215242516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24368 (New Jersey) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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