Provider Demographics
NPI:1952469561
Name:FRYE HOME INFUSION
Entity Type:Organization
Organization Name:FRYE HOME INFUSION
Other - Org Name:FRYE INFUSION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:SALYARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:828-315-3043
Mailing Address - Street 1:PO BOX 2221
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-2221
Mailing Address - Country:US
Mailing Address - Phone:828-315-3043
Mailing Address - Fax:828-315-5935
Practice Address - Street 1:415 NORTH CENTER ST
Practice Address - Street 2:SUITE 002
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-315-3043
Practice Address - Fax:828-315-5935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1719251E00000X
NC12252251F00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251F00000XAgenciesHome Infusion
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0186015Medicaid
NC0783200001Medicare ID - Type Unspecified