Healthcare Provider Details

I. General information

NPI: 1003239302
Provider Name (Legal Business Name): MISSION HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 W PARKER RD
MORGANTON NC
28655-4673
US

IV. Provider business mailing address

PO BOX 602373
CHARLOTTE NC
28260-2373
US

V. Phone/Fax

Practice location:
  • Phone: 828-659-5777
  • Fax: 828-213-1742
Mailing address:
  • Phone: 828-651-6474
  • Fax: 828-681-1575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

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