Provider Demographics
NPI:1639245897
Name:VALDESE GENERAL HOSPITAL INC
Entity Type:Organization
Organization Name:VALDESE GENERAL HOSPITAL INC
Other - Org Name:WHEELCHAIRS PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:FRITTS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:828-580-5545
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:VALDESE
Mailing Address - State:NC
Mailing Address - Zip Code:28690-0700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:132 MAIN ST E
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-2808
Practice Address - Country:US
Practice Address - Phone:828-879-9050
Practice Address - Fax:828-879-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8201747OtherUNITED HC
NC27207COtherMEDCOST
NC552HOSOtherPARTNERS
NC0473ROtherBCBS
NC7700452Medicaid
NC7700452Medicaid