Organization
SAINT JOSEPH'S MERCY CARE SERVICES, INC.
Active
Other names
Saint Joseph's Mercy Care MUST Ministries
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA M STOKES (VP OF FINANCE)
(678) 843-8530
Entity
Organization
Contact information
Practice address
1407 COBB PARKWAY NW, MARIETTA, GA 30060-6546
(678) 843-8600
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-1827
PENDING
GA
Enumeration date
01/13/2020
Last updated
01/13/2020
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