Healthcare Provider Details

I. General information

NPI: 1356393284
Provider Name (Legal Business Name): THREE STREAMS FAMILY HEALTH CARE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 OLD HAYWOOD RD
ASHEVILLE NC
28806-1154
US

IV. Provider business mailing address

1710 OLD HAYWOOD RD
ASHEVILLE NC
28806-1154
US

V. Phone/Fax

Practice location:
  • Phone: 828-285-9725
  • Fax: 828-285-9762
Mailing address:
  • Phone: 828-285-9725
  • Fax: 828-285-9762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number33789
License Number StateNC

VIII. Authorized Official

Name: GERI L SPANGLER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 828-285-9725