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CH02771C ATLANTICARE HEALTH SERVICES INC (Active)
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Main Details
Name
ATLANTICARE HEALTH SERVICES INC
Subdivision Name
ATLANTICARE HEALTH SERVICES -COVENANT HOUSE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006797
340B ID
CH02771C
Grant Number
H80CS00858
Additional Details
Current Program Status
Active
Registration Date
3/2/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/7/2017
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
AtlantiCare Health Services
Sandy Lee Festa, Director, CEO
(609) 572-6051
Primary Contact
Atlanticare
Steven Moscola, AVP Ambulatory Pharmacy Services
(609) 404-7443
Addresses
Street Address
929 Atlantic Ave
Atlantic City, NJ 08401-7401
Billing Address
Atlanticare Health Services
2500 English Creek Rd
BLDG C
Egg Harbor Twp, NJ 08234-5549
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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