Healthcare Provider Details

I. General information

NPI: 1306129929
Provider Name (Legal Business Name): TOE RIVER HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 09/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 MEDICAL CAMPUS DR
BURNSVILLE NC
28714-9004
US

IV. Provider business mailing address

861 GREENWOOD RD
SPRUCE PINE NC
28777-3113
US

V. Phone/Fax

Practice location:
  • Phone: 828-682-6118
  • Fax: 828-682-6262
Mailing address:
  • Phone: 828-765-2239
  • Fax: 828-765-9082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberL000901
License Number StateNC

VIII. Authorized Official

Name: MRS. LYNDA KINNANE
Title or Position: HEALTH DIRECTOR
Credential: MPH, RD, LDN
Phone: 828-765-2239