Saint Joseph's Mercy Care Services, Inc. | |
1407 Cobb Parkway Nw Marietta GA 30060-6546 | |
(678) 843-8600 | |
Not Available |
Full Name | Saint Joseph's Mercy Care Services, Inc. |
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Speciality | Clinic/Center |
Location | 1407 Cobb Parkway Nw, Marietta, Georgia |
Authorized Official Name and Position | Erica M Stokes (VP OF FINANCE) |
Authorized Official Contact | 6788438530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saint Joseph's Mercy Care Services, Inc. 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 | Saint Joseph's Mercy Care Services, Inc. 1407 Cobb Parkway Nw Marietta GA 30060-6546 Ph: (678) 843-8600 |
NPI Number | 1023658523 |
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Provider Enumeration Date | 01/13/2020 |
Last Update Date | 01/13/2020 |
Medicare PECOS PAC ID | 9931191525 |
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Medicare Enrollment ID | O20200602001680 |
Identifier | Type | State | Issuer |
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1023658523 | NPI | - | NPPES |
11-1827 | Other | GA | PENDING |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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