Organization
ATLANTICARE HEALTH SERVICES, INC.
Active
Parent organization
ATLANTICARE HEALTH SERVICES, INC.
Other names
AtlantiCare Health Services - Mission Healtcare, AtlantiCare Health Services - FQHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTICARE HEALTH SERVICES, INC.
Authorized official
SANDY FESTA (EXEC DIR FQHC)
(609) 572-6051
Entity
Organization
Contact information
Practice address
1401 ATLANTIC AVE, ATLANTIC CITY, NJ 08401
(609) 572-8333
Mailing address
1401 ATLANTIC AVE STE 1125, ATLANTIC CITY, NJ 08401-7001
(609) 572-6051
(609) 572-6001
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
24109
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116599
—
NJ
Enumeration date
02/20/2007
Last updated
03/18/2022
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