Kennesaw State University Health Clinic

LBN: Kennesaw State University Health Clinic
Kennesaw State University Health Clinic is an health care organization with primary practice located at 1000 Chastain Rd Nw House 52, Kennesaw GA 30144-5588. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Kennesaw State University Health Clinic can be contacted via phone (770) 423-6644, or through Nichols, Anne via phone (770) 423-6644.

Contact Information

Primary practice address
1000 Chastain Rd Nw House 52 Kennesaw GA 30144-5588
Phone: (770) 423-6644
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Anne Advanced Practice Registered Nurse (APRN)
Phone: (770) 423-6644

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X RN057224 Georgia
Ambulatory Health Care Facilities / Student Health 261QS1000X RN057224 Georgia

Profile Details

NPI number 1831426931
LBN Legal business name Kennesaw State University Health Clinic
DBA Doing business as
Authorized official Nichols, Anne Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2009
Last updated Nov 10th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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