Organization
SAINT JOSEPH'S MERCY CARE SERVICES INC
Active
Other names
Saint Joseph's Mercy Care Salvation Army
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA M STOKES (VP OF FINANCE)
(678) 843-8530
Entity
Organization
Contact information
Practice address
740 MARIETTA ST NW, ATLANTA, GA 30318-5726
(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
—
PENDING
PENDING
GA
Enumeration date
01/05/2021
Last updated
01/05/2021
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