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NPI Code Detail

MEDICARE: KENNESTONE HOSPITAL, INC.

MEDICARE: KENNESTONE HOSPITAL, INC.
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
1282N00000XGeneral Acute Care Hospital
2282E00000XLong Term Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2100096OTHERGABLUE CROSS

General Provider Information

NPI Number : 1700853041
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENNESTONE HOSPITAL, INC.
Provider Business Mailing Address
First Line : 1800 PARKWAY PL SE STE 500
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8237
Country : US
Telephone Number : 470-956-4981
Fax Number :
Provider Business Practice Location Address
First Line : 2540 WINDY HILL RD SE
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8605
Country : US
Telephone Number : 470-644-0012
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VP & CFO
Name : MR. ANTHONY J BUDZINSKI
Credential :
Telephone Number : 470-644-0012
Provider Enumeration Date : 03/07/2006
Last Update Date : 10/31/2024

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Directions to “KENNESTONE HOSPITAL, INC. ” Practice Location

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