Provider Demographics
NPI:1902062813
Name:HARRIS REGIONAL HOSPITAL DBA SYLVA ORTHOPAEDIC ASSOCIATES
Entity type:Organization
Organization Name:HARRIS REGIONAL HOSPITAL DBA SYLVA ORTHOPAEDIC ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP OF WESTCARE HEALTH SYS
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATHERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-586-7104
Mailing Address - Street 1:80 HEALTHCARE DRIVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5126
Mailing Address - Country:US
Mailing Address - Phone:828-586-5531
Mailing Address - Fax:828-586-5759
Practice Address - Street 1:80 HEALTHCARE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5126
Practice Address - Country:US
Practice Address - Phone:828-586-5531
Practice Address - Fax:828-586-5759
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRIS REGIONAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-30
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty