WNC Longterm Healthcare, PLLC
Organization Active NPI Family Medicine Physician · Hendersonville, NC
NPI 1326384652 · NPPES record last updated Jun 10, 2013
Key facts
- NPI
- 1326384652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WNC LONGTERM HEALTHCARE, PLLC
- Practice address
- 510 Balsam Rd
Hendersonville, NC 28792-5703 - Phone
- (828) 693-4431
- NPI assigned
- Dec 13, 2012
- Organization subpart
- No
Authorized official
- Name
- Larry J Russell, MD
- Title
- Owner
- Phone
- (828) 693-4431
Practitioners 10
-
Jan Allison, FNP
-
Linda Brooks, FNP
-
Joy Marie Ciaccio, FNP
-
Jamie M McCall, FNP
-
Julie Timmons Ruch, ACNP-BC
-
Rebecca Spring Stevens, FNP-C
-
Alicia K Younger, N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130207000371 | NC | Part B Supplier - Clinic/Group Practice | 3678727294 |
Receives reassigned benefits from 10 practitioners Practice locations: Hendersonville, NC |
National Provider Directory
Locations
3016 Cane Creek Rd
Fairview, NC 28730
Phone (352) 216-7618
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
510 Balsam Rd
Hendersonville, NC 28792-5703
Mailing address
PO Box 2570
Hendersonville, NC 28793-2570
Phone (828) 693-4431
Other providers in Hendersonville, NC
- Nancy Wilson
- Tony Wilson
- Winder Medical Group LLC
- Joshua Zachariah Allen Wise
- Nancy Ann Witcher
- WNC Surgical Associates PLLC
- Benjamin Zachary Wolf
- Cynthia Carmelite Woodard
- Stephanie May Woolley
- Brittanni Morgen Wooters
All providers in Hendersonville, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.