Healthcare Provider Details

I. General information

NPI: 1184177230
Provider Name (Legal Business Name): MISSION HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 07/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIDGEFIELD CT SUITE
ASHEVILLE NC
28806-2270
US

IV. Provider business mailing address

PO BOX 751177
CHARLOTTE NC
28275-1177
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM HATHAWAY
Title or Position: CMO
Credential: MD
Phone: 828-213-1111