Provider Demographics
NPI:1114053899
Name:SALUDA MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:SALUDA MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-749-4411
Mailing Address - Street 1:86 GREENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:NC
Mailing Address - Zip Code:28773-8732
Mailing Address - Country:US
Mailing Address - Phone:828-749-4411
Mailing Address - Fax:
Practice Address - Street 1:86 GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:NC
Practice Address - Zip Code:28773-8732
Practice Address - Country:US
Practice Address - Phone:828-749-4411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005000210261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC03087OtherBLUE CROSS BLUE SHIELD
NC5900860Medicaid
NCH00598Medicare UPIN
NC5900860Medicaid