1174655500 NPI number — RHA HEALTH SERVICES, INC.

Table of content: (NPI 1174655500)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174655500 NPI number — RHA HEALTH SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RHA HEALTH SERVICES, 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:
6
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:
1174655500
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3060 PEACHTREE RD NW
Provider Second Line Business Mailing Address:
SUITE 900
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30305-2234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-364-2900
Provider Business Mailing Address Fax Number:
404-364-2901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3240 BURNT MILL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28403-2576
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-763-5355
Provider Business Practice Location Address Fax Number:
910-763-5340
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ORSINI
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
LYN
Authorized Official Title or Position:
VICE PRESIDENT FINANCIAL SVCS
Authorized Official Telephone Number:
404-364-2900

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 8300226G , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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