Healthcare Provider Details

I. General information

NPI: 1144295155
Provider Name (Legal Business Name): YANCEY COMMUNITY MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEDICAL CAMPUS DR
BURNSVILLE NC
28714-9010
US

IV. Provider business mailing address

PO BOX 15268
ASHEVILLE NC
28813-0268
US

V. Phone/Fax

Practice location:
  • Phone: 828-682-0200
  • Fax: 828-682-5095
Mailing address:
  • Phone: 828-250-2833
  • Fax: 828-665-8275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DENA HENSLEY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 828-682-0200