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CH02771D Atlanticare Health Services Inc (Active)
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Main Details
Name
Atlanticare Health Services Inc
Subdivision Name
AtlantiCare Health Services Mission Health Galloway
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021926
340B ID
CH02771D
Grant Number
H80CS00858
Additional Details
Current Program Status
Active
Registration Date
10/2/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/3/2018
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
54 W Jimmie Leeds Rd Ste 8
Galloway, NJ 08205-9438
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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