Healthcare Provider Details

I. General information

NPI: 1932587250
Provider Name (Legal Business Name): TRANSYLVANIA COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16821 ROSMAN HWY
LAKE TOXAWAY NC
28747-9593
US

IV. Provider business mailing address

2 MEDICAL PARK DR SUITE 101
ASHEVILLE NC
28803-7782
US

V. Phone/Fax

Practice location:
  • Phone: 828-883-5473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number12595
License Number StateNC

VIII. Authorized Official

Name: TIMOTHY GENTILCORE
Title or Position: DIRECTOR-RETAIL PHARMACY
Credential: PHARM.D.
Phone: 828-213-0048