CHILDREN'S HEALTHCARE OF ATLANTA AT EGLESTON NPI 1083786941

NPI Information

NPI: 1083786941
Provider Name: CHILDREN'S HEALTHCARE OF ATLANTA AT EGLESTON

Other Name: CHILDREN'S RESPONSE

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 785-6000
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CHILDREN'S HEALTHCARE OF ATLANTA AT EGLESTON is an air transport ambulance in Atlanta, GA. CHILDREN'S HEALTHCARE OF ATLANTA AT EGLESTON NPI is 1083786941. The provider is registered as an organization entity type.
The provider Other Name Is Children's Response.

The provider's business location address is:

1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322-060
Phone: (404) 785-6000

The provider's authorized official is Managed Care .
The authorized official title is Manager, Provider Enrollment and has the following contact phone number (404) 785-7876.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/11/2024.

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	3416A0800X	Ambulance	Air Transport	044-079	GEORGIA	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	000715591B	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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