Healthcare Provider Details
I. General information
NPI: 1720292261
Provider Name (Legal Business Name): FLETCHER HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2007
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 HOSPITAL DRIVE , 5A
HENDERSONVILLE NC
28792
US
IV. Provider business mailing address
PO BOX 1869
FLETCHER NC
28732-1869
US
V. Phone/Fax
- Phone: 828-684-1115
- Fax: 828-687-6064
- Phone: 828-687-5616
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | H0019 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | H0019 |
| License Number State | NC |
VIII. Authorized Official
Name:
BRANDON
M
NUDD
Title or Position: PRESIDENT/CEO
Credential:
Phone: 828-681-2102