Provider Demographics
NPI:1346477759
Name:HARRIS REGIONAL HOSPITAL INC
Entity Type:Organization
Organization Name:HARRIS REGIONAL HOSPITAL INC
Other - Org Name:WESTERN CAROLINA PULMONARY & SLEEP CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MGMT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:E
Authorized Official - Last Name:THOMASSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:828-631-1790
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0209
Mailing Address - Country:US
Mailing Address - Phone:828-631-1790
Mailing Address - Fax:828-631-1777
Practice Address - Street 1:186 MEDICAL PARK LOOP
Practice Address - Street 2:SUITE 503
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5222
Practice Address - Country:US
Practice Address - Phone:828-586-7994
Practice Address - Fax:828-586-7340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty