Active NPI
Atlantic Occupational Health, Inc.
- Occupational Medicine Clinic/Center
- N Charleston, SC
National Provider Identifier
1053590836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapy Clinic/Center
- N Charleston, SC
- NPI 1659550333
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.