Provider Demographics
NPI:1417995010
Name:HICKORY ACUTE CARE SPECIALISTS, PA
Entity Type:Organization
Organization Name:HICKORY ACUTE CARE SPECIALISTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BLANCHAT
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:828-322-2799
Mailing Address - Street 1:335 4TH ST NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-4919
Mailing Address - Country:US
Mailing Address - Phone:828-322-2799
Mailing Address - Fax:828-322-2968
Practice Address - Street 1:335 4TH ST NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-4919
Practice Address - Country:US
Practice Address - Phone:828-322-2799
Practice Address - Fax:828-322-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty