Provider Demographics
NPI:1043372212
Name:SWAIN COUNTY HOSPITAL, INC.
Entity Type:Organization
Organization Name:SWAIN COUNTY HOSPITAL, INC.
Other - Org Name:WETCARE HEALTH SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-452-8210
Mailing Address - Street 1:45 PLATEAU ST
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-6784
Mailing Address - Country:US
Mailing Address - Phone:828-586-7000
Mailing Address - Fax:828-586-7449
Practice Address - Street 1:45 PLATEAU ST
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-6784
Practice Address - Country:US
Practice Address - Phone:828-586-7000
Practice Address - Fax:828-586-7449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC235131Medicare ID - Type UnspecifiedSWAIN MAMMOGRAM