Organization
LIFEBRITE HOSPITAL GROUP OF STOKES, LLC
Active
Other names
LifeBrite Family Medical of Danbury
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN FLETCHER (CEO)
(336) 593-5311
Entity
Organization
Contact information
Practice address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
(336) 593-8281
(336) 593-5282
Mailing address
1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
(336) 593-5311
(336) 593-5350
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343447
PTAN
NC
01
—
G557
MEDICARE PART B PTAN
NC
01
—
H0165
HOSPITAL LICENSURE
NC
Enumeration date
11/28/2016
Last updated
02/02/2021
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