Provider Demographics
NPI:1952307811
Name:AMERICAN TRANSITIONAL HOSPITALS LLC
Entity type:Organization
Organization Name:AMERICAN TRANSITIONAL HOSPITALS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:TARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-972-1100
Mailing Address - Street 1:4714 GETTYSBURG RD
Mailing Address - Street 2:LEGAL DEPT.
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4325
Mailing Address - Country:US
Mailing Address - Phone:717-972-1100
Mailing Address - Fax:717-975-9981
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:7TH FLOOR, WOODRUFF BUILDING
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2209
Practice Address - Country:US
Practice Address - Phone:404-686-3284
Practice Address - Fax:404-686-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2014-07-02
Deactivation Date:2005-07-21
Deactivation Code:
Reactivation Date:2007-02-22
Provider Licenses
StateLicense IDTaxonomies
GA0060-558282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA51003550OtherBCBS GA
GA00916881AMedicaid
50531AOtherLEGACY PROVIDER NUMBER
GA51003550OtherBCBS GA