=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992740468
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FLETCHER HOSPITAL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2006
-----------------------------------------------------
Last Update Date | 01/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 HOSPITAL DR
-----------------------------------------------------
City | HENDERSONVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28792-5272
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-687-5261
-----------------------------------------------------
Fax | 828-687-5281
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 948117
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30394-8117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-687-5616
-----------------------------------------------------
Fax | 828-650-8076
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | STEVEN BURROUGHS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 828-681-2102
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HCO911
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------