MEDICARE: MISSION HOSPITALS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208100000X	Physical Medicine & Rehabilitation Physician
2	2084N0400X	Neurology Physician
3	207X00000X	Orthopaedic Surgery Physician
4	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1669716270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSION HOSPITALS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 602811
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2811
Country	:	US
Telephone Number	:	828-255-7776
Fax Number	:	828-274-5134

Provider Business Practice Location Address
First Line	:	55 MEDICAL PARK DR
Second Line	:	SUITE 118
City	:	FRANKLIN
State	:	NC
Zip	:	28734-2651
Country	:	US
Telephone Number	:	828-255-7776
Fax Number	:	828-274-5134

Authorized Official
Title or Position	:	CMO
Name	:	WILLIAM R HATHAWAY
Credential	:	MD
Telephone Number	:	828-213-0499

Provider Enumeration Date	:	11/20/2012
Last Update Date	:	09/01/2016

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Directions to “MISSION HOSPITALS, INC. ” Practice Location

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