# ATLANTA HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlanta Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073600136
- **Authorized official:** MR. TOM CROW (ADMINISTRATOR/CEO)
- **Authorized official phone:** (903) 799-3000

## Contact information

- **Practice address:** 1007 S WILLIAM ST, ATLANTA, TX 75551-3245
- **Practice address phone:** (903) 799-3000
- **Practice address fax:** (903) 799-3005
- **Mailing address:** PO BOX 1049, ATLANTA, TX 75551-1049
- **Mailing address phone:** (903) 799-3000
- **Mailing address fax:** (903) 799-3005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 000131 | TX | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 06/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 107585105 | — | AR |
| 01 | — | 122058 | SUPERIOR HEALTH PLAN | TX |
| 05 | — | 133255305 | — | TX |
| 05 | — | 1736589 | — | LA |
| 01 | — | 80274 | BLUE CROSS BLUE SHIELD | AR |
| 01 | — | HH0664 | BLUE CROSS BLUE SHIELD | TX |