Healthcare Provider Details
I. General information
NPI: 1790667434
Provider Name (Legal Business Name): HENDERSON COUNTY HOSPITAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
277 N BROAD ST STE 2
BREVARD NC
28712-3347
US
IV. Provider business mailing address
5221 PARAMOUNT PKWY STE 440
MORRISVILLE NC
27560-5491
US
V. Phone/Fax
- Phone: 828-435-8152
- Fax: 828-435-8153
- Phone: 984-974-1190
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
LYNN
SUNDAY
JR.
Title or Position: CHIEF FINANCIAL OFFICER, VP FINANCE
Credential:
Phone: 828-696-1175