Healthcare Provider Details
I. General information
NPI: 1801823349
Provider Name (Legal Business Name): DLP FRYE REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2006
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 N CENTER ST STE 20
HICKORY NC
28601-5046
US
IV. Provider business mailing address
330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-5098
US
V. Phone/Fax
- Phone: 828-315-5000
- Fax:
- Phone: 615-920-7000
- Fax: 615-920-8913
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 284300000X |
| Taxonomy | Special Hospital |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | H0053 |
| License Number State | NC |
VIII. Authorized Official
Name:
CHARLOTTE
LAWRENCE
Title or Position: SECRETARY
Credential:
Phone: 615-920-7000