Organization
ATLANTICARE PHYSICIAN GROUP PA
Active
Parent organization
MEDVANTX, INC.
Other names
AtlantiCare Urgent Care- Galloway Township
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
110 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9508
(609) 748-2100
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB05380400
NJ
Other
Enumeration date
04/09/2015
Last updated
04/29/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up