Healthcare Provider Details

I. General information

NPI: 1467826073
Provider Name (Legal Business Name): MISSION HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 07/26/2016
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 602373
CHARLOTTE NC
28260-2373
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-0022
  • Fax: 828-213-0039
Mailing address:
  • Phone: 828-213-1500
  • Fax: 828-681-6570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM R HATHAWAY
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 828-213-1111