Healthcare Provider Details
I. General information
NPI: 1538458468
Provider Name (Legal Business Name): MISSION HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2011
Last Update Date: 04/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US
IV. Provider business mailing address
PO BOX 15268
ASHEVILLE NC
28813-0268
US
V. Phone/Fax
- Phone: 828-213-0740
- Fax: 828-213-7147
- Phone: 828-250-2833
- Fax: 828-250-2740
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DALE
FELL
Title or Position: CMO
Credential: MD
Phone: 828-250-2833