NPIMap

Organization Active NPI

Atlanta Hospital Authority

  • Rural Acute Care Hospital
  • Atlanta, TX
National Provider Identifier
1073600136
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
000131 Issued in TX
Legal business name
ATLANTA HOSPITAL AUTHORITY
Practice address
1007 S William St
Atlanta, TX 75551-3245
Phone
(903) 799-3000
Fax
(903) 799-3005
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Mr. Tom Crow
Title
Administrator/Ceo
Phone
(903) 799-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 000131 TX Primary

Addresses

Primary practice location

1007 S William St
Atlanta, TX 75551-3245

Mailing address

PO Box 1049
Atlanta, TX 75551-1049
Phone (903) 799-3000

Other identifiers 6

IdentifierTypeStateIssuer
HH0664OtherTXBLUE CROSS BLUE SHIELD
107585105MedicaidAR
122058OtherTXSUPERIOR HEALTH PLAN
80274OtherARBLUE CROSS BLUE SHIELD
133255305MedicaidTX
1736589MedicaidLA

Other names 1

  • Atlanta Memorial Hospital Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1073600136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755511049",
            "telephone_number": "903-799-3000",
            "fax_number": "903-799-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513245",
            "telephone_number": "903-799-3000",
            "fax_number": "903-799-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "903-799-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "000131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH0664",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107585105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "122058",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80274",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133255305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1736589",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.