Provider Demographics
NPI: | 1922456763 |
---|---|
Name: | HIGHLANDS-CASHIERS HOSPITAL, INC. |
Entity Type: | Organization |
Organization Name: | HIGHLANDS-CASHIERS HOSPITAL, INC. |
Other - Org Name: | MISSION HEALTH CENTER-HIGHLANDS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CHIEF REVENUE OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RHONDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MILLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 828-651-4144 |
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: | 828-526-1280 |
Mailing Address - Fax: | 828-526-1285 |
Practice Address - Street 1: | 209 HOSPITAL DR |
Practice Address - Street 2: | |
Practice Address - City: | HIGHLANDS |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28741 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-526-4346 |
Practice Address - Fax: | 828-526-2914 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | HIGHLANDS-CASHIERS HOSPITAL, INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2016-06-02 |
Last Update Date: | 2018-08-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 207Q00000X, 207QA0401X, 207QG0300X, 207QS0010X, 207R00000X, 207RA0401X, 207RG0300X, 207RS0010X, 207V00000X, 207VG0400X, 207X00000X, 2086S0127X, 208800000X, 363A00000X, 363L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | Addiction Medicine | Group - Multi-Specialty |
No | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | Group - Multi-Specialty |
No | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | Group - Multi-Specialty |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | Addiction Medicine | Group - Multi-Specialty |
No | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | Group - Multi-Specialty |
No | 207RS0010X | Allopathic & Osteopathic Physicians | Internal Medicine | Sports Medicine | Group - Multi-Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | Group - Multi-Specialty |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | Group - Multi-Specialty |
No | 208800000X | Allopathic & Osteopathic Physicians | Urology | Group - Multi-Specialty | |
No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 02CN3 | Other | BCBS |