MEDICARE: DLP SWAIN COUNTY HOSPITAL, LLC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00540	OTHER	NC	SWAIN BLUE CROSS UB
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	152244500	OTHER	NC	US DEPT OF LABOR TREASURE
7	00540	OTHER	NC	SWAIN BC UB
8	0766B	OTHER	NC	SWAIN BC ER PROF FEE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1689780249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DLP SWAIN COUNTY HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	45 PLATEAU ST
Second Line	:
City	:	BRYSON CITY
State	:	NC
Zip	:	28713-6784
Country	:	US
Telephone Number	:	828-488-4200
Fax Number	:	828-586-7467

Provider Business Practice Location Address
First Line	:	45 PLATEAU ST
Second Line	:
City	:	BRYSON CITY
State	:	NC
Zip	:	28713-6784
Country	:	US
Telephone Number	:	828-488-4200
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	CHARLOTTE LAWRENCE
Credential	:
Telephone Number	:	615-920-7000

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	04/29/2024

80 VETERANS BLVD
BRYSON CITY, NC
28713-6784

Practice Phone: 828-538-4546
Practice Fax: 828-538-4549