Provider Demographics
NPI:1689780249
Name:DLP SWAIN COUNTY HOSPITAL, LLC
Entity Type:Organization
Organization Name:DLP SWAIN COUNTY HOSPITAL, LLC
Other - Org Name:SWAIN COUNTY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:45 PLATEAU ST
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-6784
Mailing Address - Country:US
Mailing Address - Phone:828-488-4200
Mailing Address - Fax:828-586-7467
Practice Address - Street 1:45 PLATEAU ST
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-6784
Practice Address - Country:US
Practice Address - Phone:828-488-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL911628100Medicaid
NC3401305Medicaid
FL901752600Medicaid
NC00540OtherSWAIN BLUE CROSS UB
NC890245TMedicaid
NC00540OtherSWAIN BC UB
NC0766BOtherSWAIN BC ER PROF FEE
NC152244500OtherUS DEPT OF LABOR TREASURE
NC8000315Medicaid
NC152244500OtherUS DEPT OF LABOR TREASURE
NC235131BMedicare ID - Type UnspecifiedSWAIN MAMMO
FL901752600Medicaid
NC00540OtherSWAIN BLUE CROSS UB
NC235131Medicare ID - Type UnspecifiedSWAIN MAMMOG CIGNA
NC235131BMedicare ID - Type UnspecifiedSWAIN CIGNA ER PROF FEE