Provider Demographics
NPI:1235292582
Name:FRYE REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:FRYE REGIONAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEONATAL NURSE PRATITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:NNP
Authorized Official - Phone:828-315-5688
Mailing Address - Street 1:2310 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1406
Mailing Address - Country:US
Mailing Address - Phone:828-324-0030
Mailing Address - Fax:
Practice Address - Street 1:FRYE REGIONAL MEDICAL CENTER
Practice Address - Street 2:420 N. CENTER STREET
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-315-5688
Practice Address - Fax:828-315-3491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC65278282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC65278OtherNNP #