1841534427 NPI number — MISSION HOSPITALS, INC.

Table of content: (NPI 1841534427)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841534427 NPI number — MISSION HOSPITALS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MISSION HOSPITALS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CAROLINA SPINE & NEUROSURGERY CENTER & MISSION
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841534427
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
48 HOSPITAL DR
Provider Second Line Business Practice Location Address:
SUITE 2A
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28722-8516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-255-7776
Provider Business Practice Location Address Fax Number:
828-274-5134
Provider Enumeration Date:
11/20/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HATHAWAY
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CMO
Authorized Official Telephone Number:
828-213-0499

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)