Provider Demographics
NPI:1366551251
Name:DLP HARRIS REGIONAL HOSPITAL LLC
Entity type:Organization
Organization Name:DLP HARRIS REGIONAL HOSPITAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:E
Authorized Official - Last Name:GIOVANETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-970-7000
Mailing Address - Street 1:132 SYLVA PLZ
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5252
Mailing Address - Country:US
Mailing Address - Phone:828-586-7410
Mailing Address - Fax:828-586-7859
Practice Address - Street 1:132 SYLVA PLZ
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5252
Practice Address - Country:US
Practice Address - Phone:828-586-7410
Practice Address - Fax:828-586-7859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0157251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00718OtherBLUE CROSS
NC3407029Medicaid
NC00718OtherBLUE CROSS
NC00718OtherBLUE CROSS