Healthcare Provider Details
I. General information
NPI: 1588713663
Provider Name (Legal Business Name): MISSION HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2007
Last Update Date: 06/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 VANDERBILT PARK DR
ASHEVILLE NC
28803-1700
US
IV. Provider business mailing address
PO BOX 15268
ASHEVILLE NC
28813-0268
US
V. Phone/Fax
- Phone: 828-213-1780
- Fax: 828-213-1785
- Phone: 828-250-2833
- Fax: 828-250-2932
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DALE
E
FELL
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 828-213-1140