Healthcare Provider Details

I. General information

NPI: 1952485476
Provider Name (Legal Business Name): TOE RIVER HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

861 GREENWOOD RD
SPRUCE PINE NC
28777-3113
US

IV. Provider business mailing address

861 GREENWOOD RD
SPRUCE PINE NC
28777-3113
US

V. Phone/Fax

Practice location:
  • Phone: 828-765-9081
  • Fax: 828-765-9082
Mailing address:
  • Phone: 828-765-9081
  • Fax: 828-765-9082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0319
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0323
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number34D0882412
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0317
License Number StateNC

VIII. Authorized Official

Name: MRS. LYNDA KINNANE
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 828-765-9081