Provider Demographics
NPI:1437406519
Name:CITY OF ASHEVILLE HEALTH SERVICES
Entity Type:Organization
Organization Name:CITY OF ASHEVILLE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-259-5690
Mailing Address - Street 1:PO BOX 7148
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-7148
Mailing Address - Country:US
Mailing Address - Phone:828-259-5693
Mailing Address - Fax:828-259-5711
Practice Address - Street 1:155 BILTMORE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4105
Practice Address - Country:US
Practice Address - Phone:828-259-5693
Practice Address - Fax:828-259-5711
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF ASHEVILLE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26310261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service