# WELLSTAR NORTH FULTON HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellStar North Fulton Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750312997
- **Authorized official:** MR. ANTHONY J BUDZINSKI (EVP & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (470) 644-0012

## Contact information

- **Practice address:** 3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
- **Practice address phone:** (770) 751-2500
- **Mailing address:** 1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
- **Mailing address phone:** (470) 956-4981
- **Mailing address fax:** (770) 999-2489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 060-357 | GA | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 10/31/2024

## 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 |