Organization
PARDEE UROLOGICAL ASSOCIATES
Active
Parent organization
HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATES
Authorized official
ALAN D HOUSE CFO (CHIEF FINANCIAL OFFICER)
(828) 696-1000
Entity
Organization
Contact information
Practice address
1216 6TH AVE W, HENDERSONVILLE, NC 28739-3301
(828) 692-6262
Mailing address
PO BOX 63314, CHARLOTTE, NC 28263-3314
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185X
BLUE CROSS BLUE SHIELD
NC
Enumeration date
07/29/2010
Last updated
08/10/2010
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