Healthcare Provider Details

I. General information

NPI: 1801284542
Provider Name (Legal Business Name): CHEROKEE INDIAN HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 PAINT TOWN RD
CHEROKEE NC
28719
US

IV. Provider business mailing address

PO BOX 63077
CHARLOTTE NC
28263-3077
US

V. Phone/Fax

Practice location:
  • Phone: 828-554-5561
  • Fax: 828-554-5560
Mailing address:
  • Phone: 828-497-9163
  • Fax: 828-497-1723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER REED
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 828-497-9163