Healthcare Provider Details

I. General information

NPI: 1538338090
Provider Name (Legal Business Name): CAMCARE HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 N DELAWARE ST
PAULSBORO NJ
08066-1367
US

IV. Provider business mailing address

817 FEDERAL ST SUITE 300
CAMDEN NJ
08103-1539
US

V. Phone/Fax

Practice location:
  • Phone: 856-687-2200
  • Fax: 856-224-5803
Mailing address:
  • Phone: 856-541-5933
  • Fax: 856-541-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number70471
License Number StateNJ

VIII. Authorized Official

Name: MRS. SALIMAH POLLARD
Title or Position: ASST. DIRECTOR OF PATIENT ACCOUNTS
Credential:
Phone: 856-583-2415