Organization
KENNESTONE HOSPITAL, INC.
Active
Other names
Wellstar Kennestone Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J BUDZINSKI (EVP AND CHIEF FINANCIAL OFFICER)
(470) 644-0012
Entity
Organization
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(470) 644-0012
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001119A
—
GA
01
—
100006
BLUE CROSS
GA
Enumeration date
03/08/2006
Last updated
10/31/2024
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