| Organization Name: | SAINT JOSEPH'S MERCY CARE SERVICES, INC. |
| NPI Number: | 1003058967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS E. ANDREWS (PRESIDENT) |
| Mailing Address: | 200 Hannover Park Rd Ste 100 Atlanta |
| State: | GA US |
| Postal Code: | 303501899 |
| Phone Number: | 6788438500 |
| Fax Number: | 6788438601 |
| NPI Enumeration Date: | 03/24/2009 |
| NPI Last Update Date: | 03/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |