Provider Demographics
NPI:1790002160
Name:THE MCDOWELL HOSPITAL INC
Entity Type:Organization
Organization Name:THE MCDOWELL HOSPITAL INC
Other - Org Name:MISSION COMMUNITY MEDICINE OLD FORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE / BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:828-659-5196
Mailing Address - Street 1:PO BOX 602373
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2373
Mailing Address - Country:US
Mailing Address - Phone:828-250-2833
Mailing Address - Fax:828-250-2932
Practice Address - Street 1:32 E MAIN ST
Practice Address - Street 2:
Practice Address - City:OLD FORT
Practice Address - State:NC
Practice Address - Zip Code:28762
Practice Address - Country:US
Practice Address - Phone:828-659-5741
Practice Address - Fax:828-250-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health