KENNESTONE HOSPTIAL INC. NPI 1902877418

NPI Information

NPI: 1902877418
Provider Name: KENNESTONE HOSPTIAL, INC.

Doing Business As: WELLSTAR BEHAVIORAL HEALTH

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
3950 AUSTELL RD
WELLSTAR BEHAVIORAL HEALTH CENTER
AUSTELL, GA
ZIP 30106
Phone: (770) 732-6570
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KENNESTONE HOSPTIAL, INC. is a psychiatric hospital in Austell, GA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. KENNESTONE HOSPTIAL, INC. NPI is 1902877418. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellstar Behavioral Health.

The provider's business location address is:

3950 AUSTELL RD
WELLSTAR BEHAVIORAL HEALTH CENTER
AUSTELL, GA
ZIP 30106-121
Phone: (770) 732-6570
Fax: (770) 732-6549

The provider's authorized official is Gregory L Simone .
The authorized official title is President & Ceo and has the following contact phone number (770) 792-7600.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 2/24/2020.

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	283Q00000X	Psychiatric Hospital		033-432	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	00001999A	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: 5/5/2024

NPI Synchronization or Removal

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