Healthcare Provider Details

I. General information

NPI: 1396021200
Provider Name (Legal Business Name): CHEROKEE INDIAN HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 03/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PAINT TOWN ROAD
CHEROKEE NC
28719
US

IV. Provider business mailing address

1 HOSPITAL RD CALLER BOX C-268
CHEROKEE NC
28719
US

V. Phone/Fax

Practice location:
  • Phone: 828-554-5550
  • Fax: 828-554-5710
Mailing address:
  • Phone: 828-497-9163
  • Fax: 828-497-1723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNC

VIII. Authorized Official

Name: JONATHAN CERI DANDO
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 828-497-9163