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HENDERSON COUNTY HOSPITAL CORPORATION NPI 1063151678


NPI Information

NPI: 1063151678
Provider Name: HENDERSON COUNTY HOSPITAL CORPORATION

Doing Business As: PARDEE BLUEMD-1409 ASHEVILLE HIGHWAY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D0671537

Address:
1409 ASHEVILLE HWY
BREVARD, NC
ZIP 28712
Phone: (828) 435-8400
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HENDERSON COUNTY HOSPITAL CORPORATION is a federally qualified health center (fqhc) clinic center in Brevard, NC. HENDERSON COUNTY HOSPITAL CORPORATION NPI is 1063151678. The provider is registered as an organization entity type.
The provider Is Doing Business As Pardee Bluemd-1409 Asheville Highway.

The provider's business location address is:

1409 ASHEVILLE HWY
BREVARD, NC
ZIP 28712-524
Phone: (828) 435-8400
Fax: (828) 435-8401

The provider's authorized official is Michael Lynn Sunday .
The authorized official title is Vp, Chief Financial Officer and has the following contact phone number (828) 696-1175.

The CLIA number assigned to this NPI record is 34D0671537 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/1/2022 and was last updated on 5/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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