Healthcare Provider Details

I. General information

NPI: 1972504595
Provider Name (Legal Business Name): MCDOWELL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 01/29/2008
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 730
MARION NC
28752-0730
US

V. Phone/Fax

Practice location:
  • Phone: 828-659-5100
  • Fax: 828-652-1626
Mailing address:
  • Phone: 828-659-5100
  • Fax: 828-652-1626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH0097
License Number StateNC

VIII. Authorized Official

Name: MR. EDWARD J HANNON
Title or Position: CEO
Credential:
Phone: 828-659-5100