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SAINT JOSEPH'S MERCY CARE SERVICES INC. NPI 1205243029


NPI Information

NPI: 1205243029
Provider Name: SAINT JOSEPH'S MERCY CARE SERVICES, INC.

Doing Business As: SAINT JOSEPH'S MERCY CARE 7 BRIDGES TO RECOVERY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2185129

Address:
2840 PLANT ATKINSON RD SE
SMYRNA, GA
ZIP 30080
Phone: (678) 843-8600
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SAINT JOSEPH'S MERCY CARE SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Smyrna, GA. SAINT JOSEPH'S MERCY CARE SERVICES, INC. NPI is 1205243029. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Joseph's Mercy Care 7 Bridges To Recovery.

The provider's business location address is:

2840 PLANT ATKINSON RD SE
SMYRNA, GA
ZIP 30080-240
Phone: (678) 843-8600

The provider's authorized official is E Thomas Andrews .
The authorized official title is President and has the following contact phone number (678) 843-8502.

The CLIA number assigned to this NPI record is 11D2185129 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/14/2014 and was last updated on 1/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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