Basic Information
| Provider Information | |||||||||
| NPI: | 1619443827 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MH MISSION HOSPITAL MCDOWELL, LLLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 387 US 70 W | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287526202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286595000 | ||||||||
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| Address1: | 387 US 70 W | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287526202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286595000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2018 | ||||||||
| LastUpdateDate: | 11/25/2019 | ||||||||
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| AuthorizedOfficialLastName: | HILL | ||||||||
| AuthorizedOfficialFirstName: | LARRY | ||||||||
| AuthorizedOfficialMiddleName: | E. | ||||||||
| AuthorizedOfficialTitleorPosition: | VP FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 8282577022 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | MH MISSION HOSPITAL MCDOWELL, LLLP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.