Healthcare Provider Details

I. General information

NPI: 1346477759
Provider Name (Legal Business Name): HARRIS REGIONAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 MEDICAL PARK LOOP SUITE 503
SYLVA NC
28779-5222
US

IV. Provider business mailing address

PO BOX 209
SYLVA NC
28779-0209
US

V. Phone/Fax

Practice location:
  • Phone: 828-586-7994
  • Fax: 828-586-7340
Mailing address:
  • Phone: 828-631-1790
  • Fax: 828-631-1777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: MRS. MARTHA E THOMASSON
Title or Position: PRACTICE MGMT
Credential: CPC
Phone: 828-631-1790