Provider Demographics
NPI:1275520017
Name:TRANSYLVANIA COMMUNITY HOSPITAL, INC
Entity Type:Organization
Organization Name:TRANSYLVANIA COMMUNITY HOSPITAL, INC
Other - Org Name:TRANSYLVANIA REGIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-884-9111
Mailing Address - Street 1:260 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3378
Mailing Address - Country:US
Mailing Address - Phone:828-884-9111
Mailing Address - Fax:
Practice Address - Street 1:260 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3378
Practice Address - Country:US
Practice Address - Phone:828-884-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0111282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00546OtherBCBSNC
NC3401319Medicaid
NC00546OtherBCBSNC
NC3401319Medicaid