Provider Demographics
NPI:1407962046
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:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:68 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2722
Mailing Address - Country:US
Mailing Address - Phone:828-586-7000
Mailing Address - Fax:828-586-7467
Practice Address - Street 1:68 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2722
Practice Address - Country:US
Practice Address - Phone:828-586-7000
Practice Address - Fax:828-586-7449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0087282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406641Medicaid
FL911633800Medicaid
NC00246OtherBC HARRIS UB
NC152271100OtherUS DEPT OF LABOR TREASUR
GA00162973XMedicaid
NC0178YOtherBC HARRIS MAMMOGRAM PROF
VA340016-6Medicaid
NC07670OtherHARRIS ER PROF FEE
NC3400016Medicaid
FL911632000Medicaid
GA00368376AMedicaid
TN0340016Medicaid
NC8907670Medicaid
NC8000180Medicaid
NC152271100OtherUS DEPT OF LABOR TREASUR
SC10522AMedicare Oscar/Certification
NC07670OtherHARRIS ER PROF FEE
FL911632000Medicaid
VA340016-6Medicaid