Healthcare Provider Details
I. General information
NPI: 1053690065
Provider Name (Legal Business Name): THE MCDOWELL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2011
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5623 US 221 S
MARION NC
28752
US
IV. Provider business mailing address
PO BOX 602373
CHARLOTTE NC
28260-2373
US
V. Phone/Fax
- Phone: 828-250-2833
- Fax:
- Phone: 828-213-1500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RHONDA
MILLER
Title or Position: VP
Credential:
Phone: 828-213-4950