ATLANTICARE HEALTH SERVICES INC. NPI 1760527782

NPI Information

NPI: 1760527782
Provider Name: ATLANTICARE HEALTH SERVICES, INC.

Doing Business As: ATLANTICARE HEALTH SERVICES - FQHC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1401 ATLANTIC AVE
ATLANTIC CITY, NJ
ZIP 08401
Phone: (609) 572-8333
Get Directions

ATLANTICARE HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Atlantic City, NJ. ATLANTICARE HEALTH SERVICES, INC. NPI is 1760527782. The provider is registered as an organization entity type.
The provider Is Doing Business As Atlanticare Health Services - Fqhc.

The provider's business location address is:

1401 ATLANTIC AVE
ATLANTIC CITY, NJ
ZIP 08401
Phone: (609) 572-8333

The provider's authorized official is Sandy Festa .
The authorized official title is Exec Dir Fqhc and has the following contact phone number (609) 572-6051.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/18/2022.

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
1	261Q00000X	Clinic/Center		24109	NEW JERSEY	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0116599	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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