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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