Provider Demographics
NPI:1356444814
Name:FLOYD HEALTHCARE MANAGEMENT INC
Entity Type:Organization
Organization Name:FLOYD HEALTHCARE MANAGEMENT INC
Other - Org Name:ATRIUM HEALTH FLOYD CHEROKEE EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF CORPORATE AND NETWORK SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-509-5000
Mailing Address - Street 1:500 RIVERSIDE PKWY NE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-2902
Mailing Address - Country:US
Mailing Address - Phone:706-509-3820
Mailing Address - Fax:706-802-0960
Practice Address - Street 1:500 RIVERSIDE PKWY NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-2902
Practice Address - Country:US
Practice Address - Phone:706-509-3820
Practice Address - Fax:706-509-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057-01341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000000756BMedicaid