<Unavail>

LBN: Kennestone Hospital, Inc
<Unavail> is an health care organization with primary practice located at 3950 Austell Rd Suite 8, Austell GA 30106-1121. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kennestone Hospital, Inc can be contacted via phone (470) 732-2111, or through Erzuah, Ebenezer via phone (470) 956-4981.

Contact Information

Primary practice address
3950 Austell Rd Suite 8 Austell GA 30106-1121
Phone: (470) 732-2111
Fax: (678) 495-8798
Website:
Map and Directions
Authorized official contact:
Name: Erzuah, Ebenezer
Phone: (470) 956-4981

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1386943009
LBN Legal business name Kennestone Hospital, Inc
DBA Doing business as <Unavail>
Authorized official Erzuah, Ebenezer
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2011
Last updated May 6th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386943009 NPPES
Other 2129620 PK
MEDICAID 003112057A PK

Popular Providers