Organization
SCHOOL SPECIFIED
Active
Parent organization
CHEROKEE INDIAN HOSPITAL AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHEROKEE INDIAN HOSPITAL AUTHORITY
Authorized official
CASEY COOPER (CEO)
(828) 497-9163
Entity
Organization
Contact information
Practice address
375 SEQUOYAH TRL, CHEROKEE, NC 28719
(828) 497-9163
(828) 497-6977
Mailing address
1 HOSPITAL ROAD, CALLER BOX C-268, CHEROKEE, NC 28719-9253
(828) 497-9163
(828) 497-1723
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0767C
BCBSNC
NC
05
—
3400156
—
NC
Enumeration date
02/22/2016
Last updated
02/22/2016
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