# KENNESTONE HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellstar Kennestone Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649248626
- **Authorized official:** ANTHONY J BUDZINSKI (EVP AND CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (470) 644-0012

## Contact information

- **Practice address:** 677 CHURCH ST NE, MARIETTA, GA 30060-1101
- **Practice address phone:** (470) 644-0012
- **Mailing address:** 1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
- **Mailing address phone:** (470) 956-4981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 10/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001119A | — | GA |
| 01 | — | 100006 | BLUE CROSS | GA |