Smoky Mountain Urology, Inc

LBN: Smoky Mountain Urology, Inc
Smoky Mountain Urology, Inc is an health care organization with primary practice located at 1334 Asheville Hwy , Hendersonville NC 28791-3414. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Smoky Mountain Urology, Inc can be contacted via phone (828) 698-0896, or through Van Wyk, Rustan Joel via phone (828) 698-0896.

Contact Information

Primary practice address
1334 Asheville Hwy Hendersonville NC 28791-3414
Phone: (828) 698-0896
Fax: (828) 698-9532
Website:
Map and Directions
Authorized official contact:
Name: Van Wyk, Rustan Joel Doctor of Osteopathy (DO)
Phone: (828) 698-0896

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X BV7069330 North Carolina

Profile Details

NPI number 1588955744
LBN Legal business name Smoky Mountain Urology, Inc
DBA Doing business as
Authorized official Van Wyk, Rustan Joel Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 22nd, 2011
Last updated Apr 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588955744 NPPES
North Carolina MEDICAID 89128F6

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