Provider Demographics
NPI:1942678248
Name:H3 HEALTHCARE, PA
Entity Type:Organization
Organization Name:H3 HEALTHCARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:STUBBS
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-806-0038
Mailing Address - Street 1:1518 E 3RD ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3200
Mailing Address - Country:US
Mailing Address - Phone:704-806-0038
Mailing Address - Fax:704-206-7195
Practice Address - Street 1:1518 E 3RD ST
Practice Address - Street 2:SUITE 150
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-3200
Practice Address - Country:US
Practice Address - Phone:704-806-0038
Practice Address - Fax:704-206-7195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care