=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427624659
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DISPATCHHEALTH ADVANCED CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/28/2021
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5885 GLENRIDGE DR STE 100
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30328-5572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-321-8546
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3827 N LAFAYETTE ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80205-3339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-500-1815
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PATRICK PALMER KNEELAND
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 720-530-4985
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------