Organization
HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Active
Other names
VIA Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ALLEN BRUNNICK CPA (CHIEF FINANCIAL OFFICER)
(704) 375-0100
Entity
Organization
Contact information
Practice address
7845 LITTLE AVE, CHARLOTTE, NC 28226-8198
(704) 375-0100
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(704) 375-0100
(704) 887-6450
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
HC0369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401500
—
NC
05
—
89015M4
—
NC
05
—
HSP034
—
SC
Enumeration date
03/01/2007
Last updated
01/24/2025
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