Organization
SAINT JOSEPH'S MERCY CARE SERVICES, INC.
Active
Other names
Saint Joseph's Mercy Care - The Imperial
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E THOMAS ANDREWS (PRESIDENT)
(678) 843-8502
Entity
Organization
Contact information
Practice address
355 PEACHTREE ST NE, ATLANTA, GA 30308-3256
(404) 410-1420
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145199A
—
GA
Enumeration date
03/12/2014
Last updated
09/04/2014
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