Organization
SAINT JOSEPH'S MERCY CARE SERVICES, INC.
Active
Other names
Saint Joseph's Mercy Care Chamblee
Organization subpart
No
Provider details
NPI number
Authorized official
EARL THOMAS ANDREWS (PRESIDENT)
(678) 843-8502
Entity
Organization
Contact information
Practice address
5134 PEACHTREE RD, CHAMBLEE, GA 30341-2724
(678) 843-8700
(404) 633-0502
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
(678) 843-8601
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031868004A
—
GA
01
—
11-1053
MEDICARE
GA
Enumeration date
05/12/2016
Last updated
10/17/2019
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