Provider Demographics
NPI:1831133537
Name:SPRINGS HEALTH CENTER PLLC
Entity Type:Organization
Organization Name:SPRINGS HEALTH CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:LATRELLE
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:828-894-2016
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:MILL SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:28756-0250
Mailing Address - Country:US
Mailing Address - Phone:828-894-2016
Mailing Address - Fax:828-894-3023
Practice Address - Street 1:82 HWY. 9 NORTH
Practice Address - Street 2:
Practice Address - City:MILL SPRING
Practice Address - State:NC
Practice Address - Zip Code:28756
Practice Address - Country:US
Practice Address - Phone:828-894-2016
Practice Address - Fax:828-894-3023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000921Medicaid
NC2341754Medicare ID - Type UnspecifiedGROUP NUMBER
NC7000921Medicaid