Provider Demographics
NPI:1831588706
Name:FUSION HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:FUSION HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIGURJON
Authorized Official - Middle Name:THOR
Authorized Official - Last Name:KRISTJANSSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-505-0280
Mailing Address - Street 1:100 KIMBALL PL
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2615
Mailing Address - Country:US
Mailing Address - Phone:888-505-0280
Mailing Address - Fax:
Practice Address - Street 1:100 KIMBALL PL
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2615
Practice Address - Country:US
Practice Address - Phone:888-505-0280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FUSION HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-15
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service