Healthcare Provider Details

I. General information

NPI: 1760760300
Provider Name (Legal Business Name): HARRIS REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 WALMART PLZ
SYLVA NC
28779-5808
US

IV. Provider business mailing address

68 HOSPITAL RD
SYLVA NC
28779-2722
US

V. Phone/Fax

Practice location:
  • Phone: 828-631-9462
  • Fax: 828-631-9938
Mailing address:
  • Phone: 828-586-7000
  • Fax: 828-586-7449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN P HEATHERLY
Title or Position: CEO
Credential:
Phone: 828-452-8210