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HAYWOOD REGIONAL MEDICAL CENTER NPI 1902104565


NPI Information

NPI: 1902104565
Provider Name: HAYWOOD REGIONAL MEDICAL CENTER

Doing Business As: BLUE MOUNTAIN UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
15 BRETTWOOD TRCE
CLYDE, NC
ZIP 28721
Phone: (828) 452-9700
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HAYWOOD REGIONAL MEDICAL CENTER is an urology in Clyde, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. HAYWOOD REGIONAL MEDICAL CENTER NPI is 1902104565. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Mountain Urology.

The provider's business location address is:

15 BRETTWOOD TRCE
CLYDE, NC
ZIP 28721-021
Phone: (828) 452-9700
Fax: (828) 452-3701

The provider's authorized official is Michael D Mcknight .
The authorized official title is Cfo and has the following contact phone number (828) 452-8210.

The enumeration date for this NPI number is 3/7/2011 and was last updated on 7/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyNo
2208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1235054HMEDICARE PINNORTH CAROLINA

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: 4/28/2024

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