Provider Demographics
NPI:1023057775
Name:FLOYD HEALTHCARE MANAGEMENT INC
Entity type:Organization
Organization Name:FLOYD HEALTHCARE MANAGEMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:STUENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-509-6900
Mailing Address - Street 1:306 SHORTER AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-4268
Mailing Address - Country:US
Mailing Address - Phone:706-509-3500
Mailing Address - Fax:706-509-4791
Practice Address - Street 1:306 SHORTER AVE NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-4268
Practice Address - Country:US
Practice Address - Phone:706-509-3500
Practice Address - Fax:706-509-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057-556273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11S054Medicare ID - Type UnspecifiedMEDICARE BILLING NUMBER