MEDICARE: UHS OF LAUREL HEIGHTS, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	044694	GA
2	323P00000X	Psychiatric Residential Treatment Facility	044588	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306913736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UHS OF LAUREL HEIGHTS, LP

Provider Business Mailing Address
First Line	:	934 BRIARCLIFF RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-2618
Country	:	US
Telephone Number	:	404-888-7860
Fax Number	:	404-872-5088

Provider Business Practice Location Address
First Line	:	934 BRIARCLIFF RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-2618
Country	:	US
Telephone Number	:	404-888-7860
Fax Number	:	404-872-5088

Authorized Official
Title or Position	:	SR VP CFO
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	02/24/2016

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