ATLANTA HOSPITAL AUTHORITY NPI 1265517106

NPI Information

NPI: 1265517106
Provider Name: ATLANTA HOSPITAL AUTHORITY

Doing Business As: ATLANTA MEMORIAL HOSPITAL

Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
1007 S WILLIAM ST
ATLANTA, TX
ZIP 75551
Phone: (903) 799-3000
Get Directions

ATLANTA HOSPITAL AUTHORITY is an emergency medical services emergency medicine in Atlanta, TX. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. ATLANTA HOSPITAL AUTHORITY NPI is 1265517106. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Atlanta Memorial Hospital.

The provider's business location address is:

1007 S WILLIAM ST
ATLANTA, TX
ZIP 75551-245
Phone: (903) 799-3000
Fax: (903) 799-3005

The provider's authorized official is Tom Crow .
The authorized official title is Administrator/ceo and has the following contact phone number (903) 799-3000.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 2/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00BW85	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	133255302	MEDICAID	TEXAS
3	122058	OTHER	TEXAS	SUPERIOR HEALTH PLAN
4	9R041	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD
5	00BW85	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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