FULTON DEKALB HOSPITAL AUTHORITY NPI 1760632988

NPI Information

NPI: 1760632988
Provider Name: FULTON DEKALB HOSPITAL AUTHORITY

Doing Business As: GRADY HEALTH SYSTEM

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303
Phone: (404) 616-6695
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FULTON DEKALB HOSPITAL AUTHORITY is a health service clinic center in Atlanta, GA. FULTON DEKALB HOSPITAL AUTHORITY NPI is 1760632988. The provider is registered as an organization entity type.
The provider Is Doing Business As Grady Health System.

The provider's business location address is:

80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303-031
Phone: (404) 616-6695
Fax: (404) 616-3297

The provider's authorized official is David C Makkers .
The authorized official title is Director Of Managed Care and has the following contact phone number (404) 616-6695.

The enumeration date for this NPI number is 9/24/2008 and was last updated on 9/25/2008.

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	261QH0100X	Clinic/Center	Health Service	060-069	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	00000855F	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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