Healthcare Provider Details
I. General information
NPI: 1386325892
Provider Name (Legal Business Name): MH MISSION HOSPITAL, LLLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2023
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2512 HENDERSONVILLE RD
ARDEN NC
28704-9533
US
IV. Provider business mailing address
2000 HEALTH PARK DR
BRENTWOOD TN
37027-4692
US
V. Phone/Fax
- Phone: 828-213-1111
- Fax:
- Phone: 615-373-7604
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
CHAD
PATRICK
Title or Position: CEO
Credential:
Phone: 828-219-0159