Provider Demographics
NPI:1730655945
Name:MH ANGEL MEDICAL CENTER, LLLP
Entity Type:Organization
Organization Name:MH ANGEL MEDICAL CENTER, LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-257-7022
Mailing Address - Street 1:56 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2632
Mailing Address - Country:US
Mailing Address - Phone:828-542-8411
Mailing Address - Fax:
Practice Address - Street 1:56 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2632
Practice Address - Country:US
Practice Address - Phone:828-542-8411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MH ANGEL MEDICAL CENTER, LLLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-16
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty