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OPTUM WOMEN'S AND CHILDREN'S HEALTH LLC NPI 1073561825


NPI Information

NPI: 1073561825
Provider Name: OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2100 RIVEREDGE PKWY
ATLANTA, GA
ZIP 30328
Phone: (770) 767-4500
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OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC is a durable medical equipment medical supplies in Atlanta, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC NPI is 1073561825. The provider is registered as an organization entity type.

The provider's business location address is:

2100 RIVEREDGE PKWY
ATLANTA, GA
ZIP 30328-693
Phone: (770) 767-4500
Fax: (678) 355-4092

The provider's authorized official is Jeanne Shingleton .
The authorized official title is Secretary and has the following contact phone number (770) 767-4500.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/24/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2251F00000XHome InfusionNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100924448AMEDICAIDGEORGIA
2559209OTHERAETNA

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: 4/28/2024

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