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ACTIVHEALTHCARE INC. NPI 1013058742


NPI Information

NPI: 1013058742
Provider Name: ACTIVHEALTHCARE, INC.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1926 NORTHLAKE PKWY STE 100
TUCKER, GA
ZIP 30084
Phone: (770) 455-0040
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ACTIVHEALTHCARE, INC. is a preferred provider organization in Tucker, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ACTIVHEALTHCARE, INC. NPI is 1013058742. The provider is registered as an organization entity type.

The provider's business location address is:

1926 NORTHLAKE PKWY STE 100
TUCKER, GA
ZIP 30084-069
Phone: (770) 455-0040
Fax: (770) 455-6188

The provider's authorized official is Mark Brickhouse .
The authorized official title is Executive Director and has the following contact phone number (770) 455-0040.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 9/15/2021.


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
1305R00000XPreferred Provider OrganizationYes

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

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.