Providence Healthcare
LBN: Providence Healthcare
Providence Healthcare is an health care organization with primary practice located at 4646 N Shallowford Rd , Atlanta GA 30338-6304. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology is the primary health care specialty.
Providence Healthcare can be contacted via phone (770) 676-6000, or through Leach, Mary via phone (770) 676-6000.
Contact Information
Primary practice address
4646 N Shallowford Rd
Atlanta GA 30338-6304
Phone: (770) 676-6000
Fax: (770) 392-9805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR005530 | Georgia |
| Other Service Providers / Acupuncturist | 171100000X | 000186 | Florida |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | Georgia |
Profile Details
| NPI number | 1699895961 |
|---|---|
| LBN Legal business name | Providence Healthcare |
| DBA Doing business as | |
| Authorized official | Leach, Mary |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699895961 | NPPES |
| Georgia | Other | 50014615 | TAT |
| Georgia | Other | 826713 | TAT |
| Georgia | Other | D44849 | TAT |
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