# PARDEE FAMILY MEDICINE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952615510
- **Legal business name:** HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATES
- **Authorized official:** MR. ALAN D HOUSE CFO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (828) 696-1000

## Contact information

- **Practice address:** 12 B CANE CREEK RD., FLETCHER, NC 28732-9707
- **Practice address phone:** (828) 684-6035
- **Practice address fax:** (828) 654-8152
- **Mailing address:** PO BOX 63314, CHARLOTTE, NC 28263-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 09/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0185X | BLUE CROSS BLUE SHIELD | NC |