Provider Demographics
NPI:1376522664
Name:TRANSYLVANIA COMMUNTIY HOSPITAL, INC
Entity Type:Organization
Organization Name:TRANSYLVANIA COMMUNTIY HOSPITAL, INC
Other - Org Name:TRANSYLVANIA REGIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALS SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:JANE MOODY
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-862-6399
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:2006-01-13
Last Update Date:2013-08-13
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
NC3451319Medicaid
NC00546OtherBCBSNC SWING BED
NC34Z319Medicare Oscar/Certification