Healthcare Provider Details

I. General information

NPI: 1407368921
Provider Name (Legal Business Name): MISSION HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 10/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 ASHEVILLE HWY
HENDERSONVILLE NC
28791-1560
US

IV. Provider business mailing address

50 SCHENCK PKWY
ASHEVILLE NC
28803-3499
US

V. Phone/Fax

Practice location:
  • Phone: 828-255-7776
  • Fax: 828-274-5134
Mailing address:
  • Phone: 828-651-6577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: RHONDA MILLER
Title or Position: CHIEF REVENUE OFFICER
Credential:
Phone: 828-651-4152