SAINT JOSEPH'S MERCY CARE SERVICES INC. NPI 1437525029

NPI Information

NPI: 1437525029
Provider Name: SAINT JOSEPH'S MERCY CARE SERVICES, INC.

Other Name: SAINT JOSEPH'S MERCY CARE - DECATURE BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
424 DECATUR ST SE
ATLANTA, GA
ZIP 30312
Phone: (678) 843-8600
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SAINT JOSEPH'S MERCY CARE SERVICES, INC. is a mental health (including community mental health center) clinic center in Atlanta, GA. SAINT JOSEPH'S MERCY CARE SERVICES, INC. NPI is 1437525029. The provider is registered as an organization entity type.
The provider Other Name Is Saint Joseph's Mercy Care - Decature Behavioral Health.

The provider's business location address is:

424 DECATUR ST SE
ATLANTA, GA
ZIP 30312-848
Phone: (678) 843-8600
Fax: (678) 843-8601

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

The enumeration date for this NPI number is 8/18/2015 and was last updated on 8/18/2015.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	111827	MEDICARE PIN	GEORGIA
2	000649844I	MEDICAID	GEORGIA

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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