Organization Active NPI

Atlantic Occupational Health, Inc.

  • Occupational Medicine Clinic/Center
  • N Charleston, SC
National Provider Identifier
1053590836
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
ATLANTIC OCCUPATIONAL HEALTH, INC.
Practice address
3625 W Montague Ave
N Charleston, SC 29418-5942
Phone
(843) 207-7130
Fax
(843) 207-8633
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kent Kolanko
Title
VP - Operations
Phone
(843) 207-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

3625 W Montague Ave
N Charleston, SC 29418-5942

Mailing address

3625 W Montague Ave
N Charleston, SC 29418-5942
Phone (843) 207-7130

National Provider Directory

National Provider Directory

Locations

3625 W Montague Ave
North Charleston, SC 29418
Phone (843) 207-7130

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1053590836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 W MONTAGUE AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294185942",
            "telephone_number": "843-207-7130",
            "fax_number": "843-207-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W MONTAGUE AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294185942",
            "telephone_number": "843-207-7130",
            "fax_number": "843-207-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC OCCUPATIONAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "KOLANKO",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "VP - OPERATIONS",
        "authorized_official_telephone_number": "843-207-7130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.