Healthcare Provider Details

I. General information

NPI: 1972938678
Provider Name (Legal Business Name): MISSION HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2013
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 RANKIN DR
MARION NC
28752-6568
US

IV. Provider business mailing address

PO BOX 602706
CHARLOTTE NC
28260-2706
US

V. Phone/Fax

Practice location:
  • Phone: 828-253-4262
  • Fax: 828-213-5678
Mailing address:
  • Phone: 828-651-6474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM R HATHAWAY
Title or Position: CMO
Credential: MD
Phone: 828-213-0499