Provider Demographics
NPI:1356567465
Name:SPRUCE PINE COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:SPRUCE PINE COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF REHABILITATIO
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUSA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, ATC-L
Authorized Official - Phone:828-682-6720
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-0520
Mailing Address - Country:US
Mailing Address - Phone:828-682-6720
Mailing Address - Fax:
Practice Address - Street 1:155 LOVE FOX RD.
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714
Practice Address - Country:US
Practice Address - Phone:828-682-6720
Practice Address - Fax:828-682-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9282282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital