Organization
LIFEBRITE HOSPITAL GROUP OF STOKES, LLC
Active
Other names
LifeBrite Medical Center of King
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN FLETCHER (CEO)
(336) 593-5311
Entity
Organization
Contact information
Practice address
402 W KING ST, KING, NC 27021-9170
(336) 983-9617
(336) 983-9791
Mailing address
402 W KING ST, KING, NC 27021-9170
(336) 983-9617
(336) 983-9791
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G557
MEDICARE PART B PTAN
NC
01
—
H0165
HOSPITAL LICENSURE
NC
Enumeration date
11/25/2016
Last updated
09/07/2020
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