Provider Demographics
NPI:1588805014
Name:UNIVERSAL HEALTH CARE FUQUAY-VARINA INC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTH CARE FUQUAY-VARINA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-459-2977
Mailing Address - Street 1:2929 N OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-9661
Mailing Address - Country:US
Mailing Address - Phone:828-459-2977
Mailing Address - Fax:828-459-9848
Practice Address - Street 1:410 S. JUDD PARKWAY SE
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2147
Practice Address - Country:US
Practice Address - Phone:919-577-0421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3415382Medicaid
NC345382Medicare Oscar/Certification