| Completecare Health Network | |
|
1255 Landis Avenue Vineland NJ 08360-3423 | |
| (856) 451-4700 | |
| (856) 794-7183 |
| Full Name | Completecare Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 1255 Landis Avenue, Vineland, New Jersey |
| Authorized Official Name and Position | James C Edwards (PRESIDENT/CEO) |
| 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 1255 Landis Avenue Vineland NJ 08360-3423 Ph: (856) 451-4700 |
| NPI Number | 1699089847 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 9335040419 |
|---|---|
| Medicare Enrollment ID | O20190125000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699089847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 24405 (New Jersey) | Primary |
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