Healthcare Provider Details

I. General information

NPI: 1174503858
Provider Name (Legal Business Name): MISSION HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 04/11/2016
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 15268
ASHEVILLE NC
28813-0268
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-1740
  • Fax: 828-213-1742
Mailing address:
  • Phone: 828-250-2833
  • Fax: 828-665-8275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM R HATHAWAY
Title or Position: SENIOR VP
Credential: MD
Phone: 828-213-1215