Organization
ATLANTIC TELEHEALTH, INC.
Active
Other names
Eastern Telehealth, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KOHLER MD (CEO)
(571) 249-2493
Entity
Organization
Contact information
Practice address
14820 LEE HWY, AMISSVILLE, VA 20106-4228
(571) 249-2493
Mailing address
PO BOX 653, AMISSVILLE, VA 20106-0653
(571) 249-2493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
281P00000X
Chronic Disease Hospital
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
09/12/2022
Last updated
07/25/2023
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