Provider Demographics
NPI: | 1023565900 |
---|---|
Name: | THE MCDOWELL HOSPITAL, INC. |
Entity Type: | Organization |
Organization Name: | THE MCDOWELL HOSPITAL, INC. |
Other - Org Name: | CANCER CARE OF WESTERN NORTH CAROLINA-MISSION |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | VP-CBO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RHONDA |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | MILLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 828-651-4144 |
Mailing Address - Street 1: | PO BOX 602706 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHARLOTTE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28260-2706 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 828-253-4262 |
Mailing Address - Fax: | 828-418-0926 |
Practice Address - Street 1: | 430 RANKIN DR |
Practice Address - Street 2: | |
Practice Address - City: | MARION |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28752-6568 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-253-4262 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-09-08 |
Last Update Date: | 2016-09-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | Group - Multi-Specialty |