Organization Active NPI

Arthur M. Blank Hospital, Inc.

  • Land Ambulance
  • Atlanta, GA
National Provider Identifier
1174695035
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
044-079 Issued in GA
Legal business name
ARTHUR M. BLANK HOSPITAL, INC.
Practice address
1575 Northeast Expressway
Atlanta, GA 30329-2401
Phone
(404) 785-6000
NPI assigned
Nov 15, 2006
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Managed Care
Title
Manager, Provider Enrollment
Phone
(404) 785-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 044-079 GA Primary

Addresses

Primary practice location

1575 Northeast Expressway
Atlanta, GA 30329-2401

Mailing address

1575 NE Expressway
Atlanta, GA 30329-2401
Phone (404) 785-7876

Other identifiers 1

IdentifierTypeStateIssuer
000715591AMedicaidGA

Other names 1

  • Children's Transport Other name

National Provider Directory

National Provider Directory
Tax ID family
Egleston Childrens Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1174695035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 NE EXPRESSWAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "404-785-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 NORTHEAST EXPRESSWAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "404-785-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR M. BLANK HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CARE",
        "authorized_official_first_name": "MANAGED",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "404-785-7876"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "044-079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000715591A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Transport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.