Healthcare Provider Details

I. General information

NPI: 1952307811
Provider Name (Legal Business Name): AMERICAN TRANSITIONAL HOSPITALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date: 07/21/2005
Reactivation Date: 02/22/2007

III. Provider practice location address

550 PEACHTREE ST NE 7TH FLOOR, WOODRUFF BUILDING
ATLANTA GA
30308-2209
US

IV. Provider business mailing address

4714 GETTYSBURG RD LEGAL DEPT.
MECHANICSBURG PA
17055-4325
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-3284
  • Fax: 404-686-4590
Mailing address:
  • Phone: 717-972-1100
  • Fax: 717-975-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number0060-558
License Number StateGA

VIII. Authorized Official

Name: MR. MICHAEL E. TARVIN
Title or Position: VICE PRESIDENT
Credential:
Phone: 717-972-1100