Healthcare Provider Details

I. General information

NPI: 1164144028
Provider Name (Legal Business Name): THE PRESBYTERIAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 RANDOLPH RD
CHARLOTTE NC
28207-1101
US

IV. Provider business mailing address

101 N CHERRY ST STE 600 FL 3
WINSTON SALEM NC
27101-4013
US

V. Phone/Fax

Practice location:
  • Phone: 704-316-6900
  • Fax: 704-316-6999
Mailing address:
  • Phone: 336-277-8757
  • Fax: 336-718-8916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JAMIE FEINOUR
Title or Position: FACILITY PRESIDENT
Credential:
Phone: 336-277-8757