Organization
HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Active
Parent organization
HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Other names
VIA Health Partners, Hospice & Palliative Care Palmetto Region
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Authorized official
MR. PETER A BRUNNICK C.P.A (PRESIDENT/CEO)
(704) 335-3501
Entity
Organization
Contact information
Practice address
1061 RED VENTURES DR STE 130, FORT MILL, SC 29707-2516
(803) 548-3708
(704) 887-6450
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
HPC-0047
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421626
MEDICARE
SC
01
—
H031
MEDICARE PART B
SC
05
—
HSP151
—
SC
Enumeration date
03/31/2014
Last updated
01/24/2025
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