Basic Information
| Provider Information | |||||||||
| NPI: | 1023057775 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FLOYD HEALTHCARE MANAGEMENT INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ATRIUM HEALTH FLOYD MEDICAL CENTER BEHAVIORAL HEALTH | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 306 SHORTER AVE NW | ||||||||
| Address2: | |||||||||
| City: | ROME | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301654268 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7065093500 | ||||||||
| FaxNumber: | 7065094791 | ||||||||
| Practice Location | |||||||||
| Address1: | 306 SHORTER AVE NW | ||||||||
| Address2: | |||||||||
| City: | ROME | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301654268 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7065093500 | ||||||||
| FaxNumber: | 7065094791 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2006 | ||||||||
| LastUpdateDate: | 08/08/2022 | ||||||||
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| AuthorizedOfficialLastName: | STUENKEL | ||||||||
| AuthorizedOfficialFirstName: | KURT | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT AND CEO | ||||||||
| AuthorizedOfficialTelephone: | 7065096900 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | 057-556 | GA | Y | Hospital Units | Psychiatric Unit |
No ID Information.