Healthcare Provider Details

I. General information

NPI: 1528643285
Provider Name (Legal Business Name): SUMMIT HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 AIRPORT PARK RD APT SUITE
FLETCHER NC
28732-8623
US

IV. Provider business mailing address

30 AIRPORT PARK RD APT SUITE
FLETCHER NC
28732-8623
US

V. Phone/Fax

Practice location:
  • Phone: 828-900-0220
  • Fax:
Mailing address:
  • Phone: 828-900-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN OCONNOR
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential:
Phone: 615-376-7315