Healthcare Provider Details

I. General information

NPI: 1972988160
Provider Name (Legal Business Name): TRANSYLVANIA COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 HOSPITAL DR SUITE 102
CLYDE NC
28721-0107
US

IV. Provider business mailing address

PO BOX 603250
CHARLOTTE NC
28260-3250
US

V. Phone/Fax

Practice location:
  • Phone: 828-456-9006
  • Fax: 828-456-8199
Mailing address:
  • Phone: 828-213-1500
  • Fax: 828-651-6570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNC

VIII. Authorized Official

Name: RHONDA ARLENE MILLER
Title or Position: CHIEF REVENUE OFFICER
Credential:
Phone: 828-651-4144