Basic Information
| Provider Information | |||||||||
| NPI: | 1033410840 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | THE MCDOWELL HOSPITAL INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MISSION HEALTH CENTER HIGHWAY 70 | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 730 | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286595000 | ||||||||
| FaxNumber: | 8286595382 | ||||||||
| Practice Location | |||||||||
| Address1: | 387 US 70 W | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286526386 | ||||||||
| FaxNumber: | 8286595730 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2010 | ||||||||
| LastUpdateDate: | 06/06/2018 | ||||||||
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| AuthorizedOfficialLastName: | STEWART | ||||||||
| AuthorizedOfficialFirstName: | CLINT | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP FINANCE/BUSINESS OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 8286595196 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.