Healthcare Provider Details
I. General information
NPI: 1427089747
Provider Name (Legal Business Name): FRYE REGIONAL MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 N CENTER ST
HICKORY NC
28601-5046
US
IV. Provider business mailing address
PO BOX 740784
ATLANTA GA
30374-0784
US
V. Phone/Fax
- Phone: 828-322-6070
- Fax:
- Phone: 828-315-5524
- Fax: 828-324-3901
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | H0053 |
| License Number State | NC |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
CRAIG
C
ARMIN
Title or Position: VP OF GOVT PROGRAMS, TENET
Credential:
Phone: 818-436-2267