Healthcare Provider Details

I. General information

NPI: 1841701521
Provider Name (Legal Business Name): HENDERSON COUNTY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2017
Last Update Date: 10/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 HENDERSONVILLE RD STE 202
ARDEN NC
28704-8576
US

IV. Provider business mailing address

800 N JUSTICE STREET BOX 16
HENDERSONVILLE NC
28791-3410
US

V. Phone/Fax

Practice location:
  • Phone: 828-684-6035
  • Fax: 828-654-8152
Mailing address:
  • Phone: 828-694-8350
  • Fax: 828-694-7654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. JAMES M. KIRBY II
Title or Position: CEO
Credential:
Phone: 828-686-1144