Basic Information
| Provider Information | |||||||||
| NPI: | 1972079127 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MH TRANSYLVANIA REGIONAL HOSPITAL, LLLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 360 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | CLYDE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287210107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288849111 | ||||||||
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| Practice Location | |||||||||
| Address1: | 360 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | CLYDE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287210107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288849111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2018 | ||||||||
| LastUpdateDate: | 11/25/2019 | ||||||||
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| AuthorizedOfficialLastName: | BAILEY | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
| AuthorizedOfficialMiddleName: | D. | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6153446215 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | MH TRANSYLVANIA REGIONAL HOSPITAL, LLLP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.