SAINT JOSEPH'S MERCY CARE SERVICES INC. NPI 1114393543

NPI Information

NPI: 1114393543
Provider Name: SAINT JOSEPH'S MERCY CARE SERVICES INC.

Other Name: MERCY CLIFTON SPRINGS CSB

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3110 CLIFTON SPRINGS RD
SUITE B
DECATUR, GA
ZIP 30034
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 Decatur, GA. SAINT JOSEPH'S MERCY CARE SERVICES INC. NPI is 1114393543. The provider is registered as an organization entity type.
The provider Other Name Is Mercy Clifton Springs Csb.

The provider's business location address is:

3110 CLIFTON SPRINGS RD
SUITE B
DECATUR, GA
ZIP 30034-600
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 8/20/2015 and was last updated on 8/20/2015.

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	261QF0400X	Clinic/Center	Federally 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: 4/28/2024

NPI Synchronization or Removal

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