Healthcare Provider Details

I. General information

NPI: 1154534816
Provider Name (Legal Business Name): HAYWOOD COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2177 ASHEVILLE ROAD
WAYNESVILLE NC
28786
US

IV. Provider business mailing address

39 LAUREL CIRCLE
WAYNESVILLE NC
28786
US

V. Phone/Fax

Practice location:
  • Phone: 828-452-6675
  • Fax:
Mailing address:
  • Phone: 828-454-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number156034
License Number StateNC

VIII. Authorized Official

Name: MR. CARMINE ROCCO
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 828-452-6675