Southern Jersey Family Medical Centers, Inc | |
932 S Main St Pleasantville NJ 08232-3646 | |
(609) 383-0880 | |
(609) 383-0658 |
Full Name | Southern Jersey Family Medical Centers, Inc |
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Speciality | Clinic/Center |
Location | 932 S Main St, Pleasantville, New Jersey |
Authorized Official Name and Position | Linda Flake (PRESIDENT CEO) |
Authorized Official Contact | 6095670434 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Jersey Family Medical Centers, Inc 1 Executive Drive 701a Suite 400 Marlton NJ 08053-4144 Ph: (609) 567-0434 | Southern Jersey Family Medical Centers, Inc 932 S Main St Pleasantville NJ 08232-3646 Ph: (609) 383-0880 |
NPI Number | 1578687851 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 09/01/2022 |
Medicare PECOS PAC ID | 0547170763 |
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Medicare Enrollment ID | O20040923000146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578687851 | NPI | - | NPPES |
0031755 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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