Organization
BLOWING ROCK HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ETTA LONG RHIA-CPMSM (SR VP MEDICAL STAFF SERVICES)
(828) 262-4133
Entity
Organization
Contact information
Practice address
418 CHESTNUT CIR, BLOWING ROCK, NC 28605-9216
(828) 295-3136
Mailing address
418 CHESTNUT CIR, P.P. BOX 148, BLOWING ROCK, NC 28605-9216
(828) 295-3136
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC0050X
Critical Access Hospital Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
H0160
NC
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401321
—
NC
01
—
3414822
NCPDP NUMBER
NC
Enumeration date
01/26/2006
Last updated
08/28/2013
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