Provider Demographics
NPI:1710519400
Name:ATOMIC HEALTH MANAGEMENT
Entity Type:Organization
Organization Name:ATOMIC HEALTH MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAULKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-302-5770
Mailing Address - Street 1:78058 COUNTRY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-5036
Mailing Address - Country:US
Mailing Address - Phone:509-302-5770
Mailing Address - Fax:855-395-0854
Practice Address - Street 1:78058 COUNTRY HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-5036
Practice Address - Country:US
Practice Address - Phone:509-302-5770
Practice Address - Fax:855-395-0854
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATOMIC HEALTH MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-10
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health