Provider Demographics
NPI:1740234400
Name:EHCA DUNWOODY, LLC
Entity Type:Organization
Organization Name:EHCA DUNWOODY, LLC
Other - Org Name:EMORY DUNWOODY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SATTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-421-7909
Mailing Address - Street 1:1 PARK PLZ
Mailing Address - Street 2:REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6527
Mailing Address - Country:US
Mailing Address - Phone:678-421-7909
Mailing Address - Fax:770-454-4279
Practice Address - Street 1:4575 N SHALLOWFORD RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6445
Practice Address - Country:US
Practice Address - Phone:678-421-7909
Practice Address - Fax:770-454-4279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC11404BMedicaid