Provider Demographics
NPI: | 1689209553 |
---|---|
Name: | MURPHY MEDICAL CENTER INC |
Entity Type: | Organization |
Organization Name: | MURPHY MEDICAL CENTER INC |
Other - Org Name: | ERLANGER PRIMARY CARE-PEACHTREE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | DIRECTOR OF REIMBURSEMENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MIKE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SHAVER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 423-778-4712 |
Mailing Address - Street 1: | PO BOX 950 |
Mailing Address - Street 2: | |
Mailing Address - City: | MURPHY |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28906-0950 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 828-835-3900 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 125 MEDICAL PARK LN STE H |
Practice Address - Street 2: | |
Practice Address - City: | MURPHY |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28906-6921 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-835-3525 |
Practice Address - Fax: | 828-321-3973 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | MURPHY MEDICAL CENTER INC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2020-03-11 |
Last Update Date: | 2020-07-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |