EMORY UNIVERSITY (EMORY UNIVERSITY HOSPITAL AT WESLEY WOODS) - NPI NUMBER 1770560294

Summary

Provider Name: EMORY UNIVERSITY (EMORY UNIVERSITY HOSPITAL AT WESLEY WOODS)

NPI Number: 1770560294

Clasification: General Acute Care Hospital (282N00000X)

Address:
1821 CLIFTON RD NE
ATLANTA, GA
ZIP 30329

Phone Number: (404) 686-7041



Detailed Information

EMORY UNIVERSITY is a general acute care hospital in Atlanta, GA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. The assigned NPI number for this provider is 1770560294 and is registered as an organization entity type.
The provider Is Doing Business As Emory University Hospital At Wesley Woods.

The provider's business address is:

1821 CLIFTON RD NE
ATLANTA, GA
ZIP 30329-021
Phone: (404) 686-7041
Fax: (404) 712-5731

The provider's authorized official is Jimmy T Hatcher .
The authorized official title is Cfo Emory Healthcare and has the following contact phone number (404) 686-2983.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 7/3/2014.

Map - Location of Practice

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Taxonomy Codes

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 282N00000X General Acute Care Hospital 044-565 GA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 110203 MEDICARE ID-TYPE UNSPECIFIED GA WESLEY GERIARTIC
2 00339831A MEDICAID GA

NPI Record

No. Field Name Field Value
1 NPI 1770560294
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name EMORY UNIVERSITY
5 Provider Other Organization Name EMORY UNIVERSITY HOSPITAL AT WESLEY WOODS
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 1821 CLIFTON RD NE
8 Provider Business Practice Location Address City Name ATLANTA
9 Provider Business Practice Location Address State Name GA
10 Provider Business Practice Location Address Postal Code 303294021
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4046867041
13 Provider Business Practice Location Address Fax Number 4047125731
14 Provider Enumeration Date 12/27/2005
15 Last Update Date 7/3/2014
16 Authorized Official Last Name HATCHER
17 Authorized Official First Name JIMMY
18 Authorized Official Middle Name T
19 Authorized Official Title or Position CFO EMORY HEALTHCARE
20 Authorized Official Telephone Number 4046862983
21 Healthcare Provider Taxonomy Code 1 282N00000X
22 Provider License Number 1 044-565
23 Provider License Number State Code 1 GA
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 110203
26 Other Provider Identifier Type Code 1 04
27 Other Provider Identifier State 1 GA
28 Other Provider Identifier Issuer 1 WESLEY GERIARTIC
29 Other Provider Identifier 2 00339831A
30 Other Provider Identifier Type Code 2 05
31 Other Provider Identifier State 2 GA
32 Is Organization Subpart N
33 Authorized Official Name Prefix Text MR.

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.