Basic Information
Provider Information
NPI: 1598882896
EntityType: 2
ReplacementNPI:  
OrganizationName: HARRIS REGIONAL HOSPITAL
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 68 HOSPITAL RD
Address2:  
City: SYLVA
State: NC
PostalCode: 287792722
CountryCode: US
TelephoneNumber: 8286311725
FaxNumber: 8285867449
Practice Location
Address1: 68 HOSPITAL RD
Address2:  
City: SYLVA
State: NC
PostalCode: 287792722
CountryCode: US
TelephoneNumber: 8286311725
FaxNumber: 8285867449
Other Information
ProviderEnumerationDate: 03/23/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DILLS
AuthorizedOfficialFirstName: LAUREL
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: CUSTOMER SERVICE COR
AuthorizedOfficialTelephone: 8286311725
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X NCY HospitalsGeneral Acute Care Hospital 

ID Information
IDTypeStateIssuerDescription
PT 017M201NCPHYSICAL THERAPY OTOTHER


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