Provider Demographics
NPI:1992740468
Name:FLETCHER HOSPITAL INC
Entity type:Organization
Organization Name:FLETCHER HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURROUGHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-681-2102
Mailing Address - Street 1:PO BOX 948117
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30394-8117
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:100 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5272
Practice Address - Country:US
Practice Address - Phone:828-687-5261
Practice Address - Fax:828-687-5281
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLETCHER HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-18
Last Update Date:2025-01-06
Deactivation Date:2019-04-25
Deactivation Code:
Reactivation Date:2019-05-14
Provider Licenses
StateLicense IDTaxonomies
NCHCO911251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC152185700OtherUS DEPT OF LABOR WC
NC347195OtherUNICARE SECURITY CHC MCR
NC347195OtherPACIFICARE MCR
NC347195OtherANTHEM SENIOR ADVANTAGE
NC347195OtherHUMANA INS GOLD CHC MCR
NC347195OtherUNITED HEALTHCARE
NC347195OtherPARTNERS NTL HLTH PLN
NC0007381246OtherAETNA
NC007CTOtherBLUE CROSS BLUE SHIELD NC
NC3407195Medicaid
NC347195OtherPACIFICARE MCR
NC3407195Medicaid