Provider Demographics
NPI:1538343983
Name:FLETCHER HOSPITAL INC
Entity type:Organization
Organization Name:FLETCHER HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRYSTIN
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:LITTLETON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:828-687-5261
Mailing Address - Street 1:100 HOSPITAL DR DEPT 580000
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5272
Mailing Address - Country:US
Mailing Address - Phone:828-687-5261
Mailing Address - Fax:
Practice Address - Street 1:895 HOWARD GAP RD
Practice Address - Street 2:NAPLES ROAD
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-1569
Practice Address - Country:US
Practice Address - Phone:828-687-5261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2021-01-13
Deactivation Date:2019-04-25
Deactivation Code:
Reactivation Date:2019-05-22
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251V00000X
NC251V00000X
NC00000332B00000X, 332U00000X, 385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332U00000XSuppliersHome Delivered Meals
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408097OtherCAP/DA