SAINT JOSEPH'S MERCY CARE SERVICES INC. NPI 1477794360

NPI Information

NPI: 1477794360
Provider Name: SAINT JOSEPH'S MERCY CARE SERVICES, INC.

Doing Business As: SAINT JOSEPH'S MERCY CARE - WOMENS DAY SHELTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
655 ETHEL ST NW
ATLANTA, GA
ZIP 30318
Phone: (404) 876-2894
Get Directions

SAINT JOSEPH'S MERCY CARE SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Atlanta, GA. SAINT JOSEPH'S MERCY CARE SERVICES, INC. NPI is 1477794360. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Joseph's Mercy Care - Womens Day Shelter.

The provider's business location address is:

655 ETHEL ST NW
ATLANTA, GA
ZIP 30318-410
Phone: (404) 876-2894

The provider's authorized official is Tom E. Andrews .
The authorized official title is President and has the following contact phone number (678) 843-8503.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/24/2009.

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)		GEORGIA	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	GRP7128	MEDICARE PIN	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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