1851532089 NPI number — HARRIS REGIONAL HOSPITAL INC

Table of content: (NPI 1851532089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851532089 NPI number — HARRIS REGIONAL HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARRIS REGIONAL HOSPITAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851532089
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 247
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYLVA
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28779-0247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-586-9642
Provider Business Mailing Address Fax Number:
828-586-9673

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
98 DOCTORS DRIVE
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SYLVA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28779-5195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-586-9642
Provider Business Practice Location Address Fax Number:
828-586-9673
Provider Enumeration Date:
03/18/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HEATHERLY
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE VICE PRESIDENT OF FINANCE
Authorized Official Telephone Number:
828-586-7104

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5911303 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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