1417923426 NPI number — FAIRBURN HEALTH CARE CENTER, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417923426 NPI number — FAIRBURN HEALTH CARE CENTER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAIRBURN HEALTH CARE CENTER, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417923426
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
178 W CAMPBELLTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRBURN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30213-1219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-964-1320
Provider Business Mailing Address Fax Number:
770-969-6177

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
178 W CAMPBELLTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRBURN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30213-1219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-964-1320
Provider Business Practice Location Address Fax Number:
770-969-6177
Provider Enumeration Date:
02/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KARSCHNER
Authorized Official First Name:
LEE
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
770-939-8720

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  10601010 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00173071A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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