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Organization
WELLSTAR NORTH FULTON HOSPITAL, INC
Active
Organization
WELLSTAR NORTH FULTON HOSPITAL, INC
Active
Other names
WellStar North Fulton Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J BUDZINSKI (EVP & CHIEF FINANCIAL OFFICER)
(470) 644-0012
Entity
Organization
Contact information
Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
(770) 999-2489
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060-357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275976A
—
GA
01
—
100012
BCBS OF GEORGIA
—
01
—
100019
BCBS OF GEORGIA
—
05
—
1100198
—
NC
01
—
110198B000000
SECTION 1011
—
05
—
11053A
—
SC
05
—
11486B
—
SC
05
—
1708127
—
LA
05
—
19913260
—
MS
01
—
199132600
US DEPT OF LABOR WORKERS
—
05
—
2535591
—
OH
05
—
46922
—
NJ
01
—
587768460
AETNA US HEALTHCARE (NATI
—
01
—
61882
AETNA US HEALTHCARE
—
05
—
902706800
—
FL
01
—
9852
COVENTRY HEALTH CARE LOUI
—
05
—
NOR0198N
—
AL
Enumeration date
07/05/2006
Last updated
10/31/2024
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