Saint Joseph'S Mercy Care Chamblee
LBN: Saint Joseph'S Mercy Care Services, Inc.
Saint Joseph'S Mercy Care Chamblee is an health care organization with primary practice located at 5134 Peachtree Rd , Chamblee GA 30341-2724. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Saint Joseph'S Mercy Care Services, Inc. can be contacted via phone (678) 843-8700, or through Andrews, Earl Thomas via phone (678) 843-8502.
Contact Information
Primary practice address
5134 Peachtree Rd
Chamblee GA 30341-2724
Phone: (678) 843-8700
Fax: (404) 633-0502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Georgia |
Profile Details
| NPI number | 1568818151 |
|---|---|
| LBN Legal business name | Saint Joseph'S Mercy Care Services, Inc. |
| DBA Doing business as | Saint Joseph'S Mercy Care Chamblee |
| Authorized official | Andrews, Earl Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2016 |
| Last updated | Oct 17th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568818151 | NPPES |
| Georgia | Other | 11-1053 | MEDICARE |
| Georgia | MEDICAID | 0031868004A | MEDICARE |
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