NPI Information

  • NPI: 1487988135
  • Provider Name: BRUCE DRYSDALE STUDENT HEALTH
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • Doing Business As: BLUE RIDGE COMMUNITY HEALTH SERVICES, INC
  • CLIA Number: 34D1096967
  • Address: 834 N MAIN ST
    HENDERSONVILLE, NC
    ZIP 28792
  • Phone: (828) 692-4289

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NPI Details

BRUCE DRYSDALE STUDENT HEALTH is a student in an organized health care education training program in Hendersonville, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. BRUCE DRYSDALE STUDENT HEALTH NPI is 1487988135. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Blue Ridge Community Health Services, Inc.

The provider's business location address is:

834 N MAIN ST
HENDERSONVILLE, NC
ZIP 28792-080
Phone: (828) 692-4289
Fax: (828) 696-1794

The provider's authorized official is Angela R Jarrett .
The authorized official title is Director Of A/r and has the following contact phone number (828) 692-4289.

The CLIA number assigned to this NPI record is 34D1096967 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 9/29/2009.

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
11041C0700XSocial WorkerClinicalNo
2133V00000XDietitian, RegisteredNo
3163WS0200XRegistered NurseSchoolNo
4390200000XStudent in an Organized Health Care Education/Training ProgramYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNORTH CAROLINATAX ID #

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: 3/30/2025

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