| Organization Name: | CHATUGE REGIONAL HOSPITAL INC |
| NPI Number: | 1093879744 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD LEWIS KELLEY (ADMINISTRATOR) |
| Mailing Address: | 450 Hwy 64 Business Suite 4 Hayesville |
| State: | NC US |
| Postal Code: | 289049694 |
| Phone Number: | 8283892273 |
| Fax Number: | 8283898291 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |