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CH02771Q Atlanticare Health Services Inc (Active)
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Main Details
Name
Atlanticare Health Services Inc
Subdivision Name
AtlantiCare Health Services- FQHC Family Medicine Residency Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035399
340B ID
CH02771Q
Grant Number
H80CS00858
Additional Details
Current Program Status
Active
Registration Date
1/4/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/4/2023
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Atlanticare
Sandra Festa, Executive Director, Mission Health
(609) 572-6051
Primary Contact
Atlanticare
Steven Moscola, AVP Ambulatory Pharmacy Services
(609) 404-7443
Addresses
Street Address
7 S Ohio Ave FL 2
Atlantic City, NJ 08401-6711
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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