Healthcare Provider Details

I. General information

NPI: 1700079571
Provider Name (Legal Business Name): NATIONAL HEALTH ADMINISTRATORS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BROWN ST SUITE 12
PEEKSKILL NY
10566-3617
US

IV. Provider business mailing address

416 CREEKSTONE RDG
WOODSTOCK GA
30188-3740
US

V. Phone/Fax

Practice location:
  • Phone: 800-645-1195
  • Fax:
Mailing address:
  • Phone: 800-645-1195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number StateNY

VIII. Authorized Official

Name: GLORIA L GILLESPIE
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 800-645-1195