Healthcare Provider Details
I. General information
NPI: 1205208204
Provider Name (Legal Business Name): MISSION HOSPITALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/29/2015
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21 HOSPITAL DR
ASHEVILLE NC
28801-4550
US
IV. Provider business mailing address
PO BOX 602373
CHARLOTTE NC
28260-2373
US
V. Phone/Fax
- Phone: 828-252-3366
- Fax: 828-258-0891
- Phone: 828-213-1500
- Fax: 828-651-6570
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
ROBERT
HATHAWAY
Title or Position: CMO
Credential: MD
Phone: 828-213-0499