Healthcare Provider Details

I. General information

NPI: 1396041075
Provider Name (Legal Business Name): FLETCHER HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2011
Last Update Date: 11/28/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 AIRPORT ROAD SUITE 20
ARDEN NC
28704
US

IV. Provider business mailing address

2600 WESTHALL LN STE 300
MAITLAND FL
32751-7107
US

V. Phone/Fax

Practice location:
  • Phone: 828-650-7282
  • Fax:
Mailing address:
  • Phone: 407-200-2352
  • Fax: 407-200-1360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRANDON NUDD
Title or Position: PRESIDENT/CEO
Credential:
Phone: 828-681-2102