Organization
ATLANTA HOSPITAL AUTHORITY
Active
Other names
Atlanta Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM CROW (ADMINISTRATOR/CEO)
(903) 799-3000
Entity
Organization
Contact information
Practice address
1007 S WILLIAM ST, ATLANTA, TX 75551-3245
(903) 799-3000
(903) 799-3005
Mailing address
PO BOX 1049, ATLANTA, TX 75551-1049
(903) 799-3000
(903) 799-3005
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
000131
TX
Other
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
Enumeration date
10/09/2006
Last updated
06/15/2010
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