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Organization
PARDEE HENDERSONVILLE FAMILY HEALTH CENTER
Active
Organization
PARDEE HENDERSONVILLE FAMILY HEALTH CENTER
Active
Parent organization
HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATES
Authorized official
MR. ALAN D HOUSE CFO (CHIEF FINANCIAL OFFICER)
(828) 696-1129
Entity
Organization
Contact information
Practice address
709 N JUSTICE ST, SUITE B, HENDERSONVILLE, NC 28791-3454
(828) 696-1234
(828) 696-1257
Mailing address
PO BOX 63314, CHARLOTTE, NC 28263-3314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185X
BLUE CROSS BLUE SHIELD
NC
Enumeration date
08/05/2010
Last updated
08/10/2010
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