Healthcare Provider Details

I. General information

NPI: 1740647809
Provider Name (Legal Business Name): DLP FRYE REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 04/23/2022
Certification Date: 04/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N CENTER ST
HICKORY NC
28601-5057
US

IV. Provider business mailing address

415 N CENTER ST
HICKORY NC
28601-5057
US

V. Phone/Fax

Practice location:
  • Phone: 828-323-8281
  • Fax:
Mailing address:
  • Phone: 828-323-8281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TERRANCE DILLON
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 502-596-7220