Provider Demographics
NPI:1598825671
Name:HARRIS REGIONAL HOSPITAL
Entity Type:Organization
Organization Name:HARRIS REGIONAL HOSPITAL
Other - Org Name:WESTCARE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HH SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-586-7410
Mailing Address - Street 1:132 SYLVA PLZ
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5252
Mailing Address - Country:US
Mailing Address - Phone:828-586-7410
Mailing Address - Fax:
Practice Address - Street 1:132 SYLVA PLZ
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5252
Practice Address - Country:US
Practice Address - Phone:828-586-7410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0157251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600003Medicaid
NC=========OtherTAX ID