Healthcare Provider Details

I. General information

NPI: 1760526586
Provider Name (Legal Business Name): ST. LUKE'S HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HOSPITAL DR
COLUMBUS NC
28722-6418
US

IV. Provider business mailing address

101 HOSPITAL DR
COLUMBUS NC
28722-6418
US

V. Phone/Fax

Practice location:
  • Phone: 828-894-0820
  • Fax: 828-894-5319
Mailing address:
  • Phone: 828-894-0820
  • Fax: 828-894-5319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH0079
License Number StateNC

VIII. Authorized Official

Name: MR. CHARLES CAMERON HIGHSMITH II
Title or Position: PRESIDENT-CEO
Credential:
Phone: 828-894-3311