Organization
HOSPITAL TRAVELER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA FLETCHER (BOARD MEMBER)
(602) 396-5263
Entity
Organization
Contact information
Practice address
6221 AMED RD, BAHAMA, NC 27503-9704
(602) 396-5263
(704) 973-9636
Mailing address
PO BOX 72014, DURHAM, NC 27722-2014
(602) 396-5263
(704) 973-9636
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509453
—
TN
05
—
200123710 A
—
OK
05
—
200376570 A
—
KS
05
—
443144
—
AZ
05
—
V06724
—
SC
Enumeration date
03/27/2007
Last updated
11/07/2013
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