Healthcare Provider Details

I. General information

NPI: 1518280171
Provider Name (Legal Business Name): HARRIS REGIONAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 HOSPITAL RD
SYLVA NC
28779-2722
US

IV. Provider business mailing address

35 FACILITY DR
CLYDE NC
28721-9438
US

V. Phone/Fax

Practice location:
  • Phone: 828-586-7428
  • Fax: 828-586-7427
Mailing address:
  • Phone: 828-452-5042
  • Fax: 828-452-9225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN L HEATHERLY
Title or Position: CHIEF STRATEGY OFFICER
Credential:
Phone: 828-586-7104