Provider Demographics
NPI:1851305619
Name:FRYE REGIONAL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:FRYE REGIONAL MEDICAL CENTER, INC.
Other - Org Name:FRYE REGIONAL MEDICAL CENTER -ALEXANDER CAMPUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF GOVT PROGRAMS, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-436-2267
Mailing Address - Street 1:PO BOX 532645
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-2645
Mailing Address - Country:US
Mailing Address - Phone:828-315-5524
Mailing Address - Fax:828-324-3901
Practice Address - Street 1:326 THIRD STREET, SW
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681
Practice Address - Country:US
Practice Address - Phone:828-328-6070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHO274282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
296303170OtherAETNA US HEALTHCARE (NATI
001AWOtherBCBS OF NORTH CAROLINA
341312B000000OtherSECTION 1011
NC3401312Medicaid
16989OtherMEDCOST
NC3451312Medicaid
001AWOtherBCBS OF NORTH CAROLINA
NC3451312Medicaid
NC3451312Medicaid