MEDICARE: THE MCDOWELL HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	H0097	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	261210	OTHER	NC	CRNA GROUP MEDICARE NUMBE

General Provider Information

NPI Number	:	1699772657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MCDOWELL HOSPITAL INC

Provider Business Mailing Address
First Line	:	PO BOX 730
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-0730
Country	:	US
Telephone Number	:	828-659-5000
Fax Number	:	828-652-1626

Provider Business Practice Location Address
First Line	:	430 RANKIN DR
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-6568
Country	:	US
Telephone Number	:	828-659-5000
Fax Number	:	828-652-1626

Authorized Official
Title or Position	:	VP FINANCE / BUSINESS OPERATIONS
Name	:	MR. CLINT STEWART
Credential	:
Telephone Number	:	828-659-5196

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	04/11/2013

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Directions to “THE MCDOWELL HOSPITAL INC ” Practice Location

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