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Organization

ATLANTICARE HEALTH SERVICES INC.

Active
Parent organization
ATLANTICARE HEALTH SERVICES INC.
Other names
AtlantiCare Mission Health Care Galloway
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATLANTICARE HEALTH SERVICES INC.
Authorized official
MS. SANDY FESTA (EXEC DIR FQHC)
(609) 572-6051
Entity
Organization

Contact information

Practice address
54 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9438
(609) 404-7300
(609) 572-6008
Mailing address
1401 ATLANTIC AVE STE 1125, ATLANTIC CITY, NJ 08401-7001
(609) 572-6051
(609) 572-6001

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0028592
NJ
Enumeration date
05/11/2018
Last updated
03/18/2022
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