Provider Demographics
NPI:1700079571
Name:NATIONAL HEALTH ADMINISTRATORS, INC.
Entity Type:Organization
Organization Name:NATIONAL HEALTH ADMINISTRATORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-645-1195
Mailing Address - Street 1:416 CREEKSTONE RDG
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3740
Mailing Address - Country:US
Mailing Address - Phone:800-645-1195
Mailing Address - Fax:
Practice Address - Street 1:1200 BROWN ST
Practice Address - Street 2:SUITE 12
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-3617
Practice Address - Country:US
Practice Address - Phone:800-645-1195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization