| Project H.o.p.e., Inc. | |
|
519-525 West St Camden NJ 08103-3529 | |
| (856) 968-2320 | |
| (856) 968-2317 |
| Full Name | Project H.o.p.e., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 519-525 West St, Camden, New Jersey |
| Authorized Official Name and Position | Patricia Deshields (CEO) |
| Authorized Official Contact | 8565416092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project H.o.p.e., Inc. 519-525 West St Camden NJ 08103-3529 Ph: (856) 968-2320 | Project H.o.p.e., Inc. 519-525 West St Camden NJ 08103-3529 Ph: (856) 968-2320 |
| NPI Number | 1891969218 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 09/15/2016 |
| Medicare PECOS PAC ID | 3779645866 |
|---|---|
| Medicare Enrollment ID | O20081224000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891969218 | NPI | - | NPPES |
| 0470121 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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