Healthcare Provider Details

I. General information

NPI: 1487564126
Provider Name (Legal Business Name): REDMOND PARK HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 BRAVES BLVD NE STE 103
ROME GA
30161-3058
US

IV. Provider business mailing address

PO BOX 931570
ATLANTA GA
31193-1570
US

V. Phone/Fax

Practice location:
  • Phone: 706-802-3890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: KIRSTIE QUESTELL
Title or Position: CFO
Credential:
Phone: 407-303-2505