Provider Demographics
NPI:1326132382
Name:PISGAH FAMILY HEALTH PA
Entity Type:Organization
Organization Name:PISGAH FAMILY HEALTH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-670-7077
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0748
Mailing Address - Country:US
Mailing Address - Phone:828-670-7077
Mailing Address - Fax:828-670-7077
Practice Address - Street 1:200 RIDGEFIELD CT
Practice Address - Street 2:SUITE 220
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2337
Practice Address - Country:US
Practice Address - Phone:828-670-7077
Practice Address - Fax:828-670-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910600Medicaid
NC8910600Medicaid
NC2244431EMedicare ID - Type Unspecified
NC=========OtherTAX ID