Basic Information
| Provider Information | |||||||||
| NPI: | 1861746075 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TRANSYLVANIA COMMUNITY HOSPITAL, INC. | ||||||||
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| OtherOrganizationName: | PALLIATIVE CARE OF TRANSYLVANIA REGIONAL HOSPITAL | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 260 HOSPITAL DR | ||||||||
| Address2: | MEDICAL STAFF SERVICES-MAIL CODE #15 | ||||||||
| City: | BREVARD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287123378 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288849111 | ||||||||
| FaxNumber: | 8288835137 | ||||||||
| Practice Location | |||||||||
| Address1: | 1266 ASHEVILLE HWY | ||||||||
| Address2: | SUITE 5 | ||||||||
| City: | BREVARD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287123478 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288835249 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2012 | ||||||||
| LastUpdateDate: | 01/30/2013 | ||||||||
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| AuthorizedOfficialLastName: | CARVER | ||||||||
| AuthorizedOfficialFirstName: | LENORA | ||||||||
| AuthorizedOfficialMiddleName: | JANE MOODY | ||||||||
| AuthorizedOfficialTitleorPosition: | CREDENTIALS SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 8288626399 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | N | Agencies | Hospice Care, Community Based | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.