Provider Demographics
NPI:1225324833
Name:HARRIS REGIONAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HARRIS REGIONAL HOSPITAL, INC.
Other - Org Name:MEDWEST URGENT CARE SYLVA
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 1:68 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2722
Mailing Address - Country:US
Mailing Address - Phone:828-586-7100
Mailing Address - Fax:
Practice Address - Street 1:176 WALMART PLZ
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5808
Practice Address - Country:US
Practice Address - Phone:828-631-9462
Practice Address - Fax:828-631-9938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400016Medicaid
NC3400016Medicaid