Provider Demographics
NPI:1689853889
Name:MISSION HEALTH AND HOSPITALS
Entity Type:Organization
Organization Name:MISSION HEALTH AND HOSPITALS
Other - Org Name:MEDICATION ASSISTANCE PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARM
Authorized Official - Phone:828-213-5539
Mailing Address - Street 1:445 BILTMORE AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4565
Mailing Address - Country:US
Mailing Address - Phone:828-213-5539
Mailing Address - Fax:828-213-1859
Practice Address - Street 1:445 BILTMORE AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4565
Practice Address - Country:US
Practice Address - Phone:828-213-5539
Practice Address - Fax:828-213-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3403514OtherNCPDP