Healthcare Provider Details

I. General information

NPI: 1982780300
Provider Name (Legal Business Name): CHEROKEE INDIAN HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL RD ROOM 2527
CHEROKEE NC
28719-9253
US

IV. Provider business mailing address

1 HOSPITAL RD ROOM 2527
CHEROKEE NC
28719-9253
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number5900092
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7905
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7736
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5904310
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number7873
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number8125
License Number StateNC

VIII. Authorized Official

Name: CASEY COOPER
Title or Position: HOSPITAL CEO
Credential:
Phone: 828-497-9163