Provider Demographics
NPI:1083178909
Name:MH MISSION HOSPITAL, LLLP
Entity Type:Organization
Organization Name:MH MISSION HOSPITAL, LLLP
Other - Org Name:MISSION COMMUNITY PHARMACY - MAIL ORDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-213-0184
Mailing Address - Street 1:400 RIDGEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2213
Mailing Address - Country:US
Mailing Address - Phone:828-231-5535
Mailing Address - Fax:
Practice Address - Street 1:400 RIDGEFIELD CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2213
Practice Address - Country:US
Practice Address - Phone:828-231-5535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MH MISSION HOSPITAL, LLLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-24
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy