Provider Demographics
NPI:1679910467
Name:MISSION HOSPITAL
Entity Type:Organization
Organization Name:MISSION HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP FINANCE CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:AYSCUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-213-1137
Mailing Address - Street 1:BOX 86, 428 BILTMORE AVE.
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3014
Mailing Address - Country:US
Mailing Address - Phone:828-257-7204
Mailing Address - Fax:828-257-7205
Practice Address - Street 1:400 RIDGEFIELD CT STE 203.04
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:828-257-7204
Practice Address - Fax:828-257-7205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management