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Organization

SAINT JOSEPH'S MERCY CARE SERVICES, INC.

Active
Other names
Saint Joseph's Mercy Care- City of Refuge
Organization subpart
No

Provider details

NPI number
Authorized official
MR. E THOMAS ANDREWS (PRESIDENT)
(678) 843-8502
Entity
Organization

Contact information

Practice address
1300 JOSEPH E BOONE BLVD NW, ATLANTA, GA 30314-2032
(678) 843-8500
(678) 843-8501
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
003132861A
GA
Enumeration date
08/13/2012
Last updated
08/11/2015
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