Healthcare Provider Details
I. General information
NPI: 1346716552
Provider Name (Legal Business Name): MH MISSION HOSPITAL MCDOWELL, LLLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2018
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5623 US 221 S
MARION NC
28752-7028
US
IV. Provider business mailing address
5623 US 221 S
MARION NC
28752-7028
US
V. Phone/Fax
- Phone: 828-659-5000
- Fax:
- Phone: 828-659-5000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LARRY
E.
HILL
Title or Position: VP FINANCE
Credential:
Phone: 828-257-7022