Organization
ATLANTICARE HEALTH SERVICES, INC.
Active
Parent organization
ATLANTICARE HEALTH SERVICES, INC.
Other names
AtlantiCare Health Services - FQHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTICARE HEALTH SERVICES, INC.
Authorized official
MR. CHRISTOPHER CARL APGAR (DIRECTOR OF FINANCE/CFO)
(609) 572-6006
Entity
Organization
Contact information
Practice address
7 S OHIO AVE STE 3100, ATLANTIC CITY, NJ 08401-6711
(609) 572-8686
(609) 441-8154
Mailing address
1401 ATLANTIC AVE STE 1125, ATLANTIC CITY, NJ 08401-7001
(609) 572-6006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116599
—
NJ
Enumeration date
08/10/2022
Last updated
05/06/2024
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