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Organization
CHARLES A CANNON JR MEMORIAL HOSPITAL
Active
Organization
CHARLES A CANNON JR MEMORIAL HOSPITAL
Active
Parent organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Authorized official
MRS. RAYANNA MILLER MOORE (DIRECTOR REVENUE CYCLE)
(828) 268-5522
Entity
Organization
Contact information
Practice address
434 HOSPITAL DRIVE, LINVILLE, NC 28646-0787
(828) 737-7000
(828) 737-7034
Mailing address
PO BOX 787, LINVILLE, NC 28646-0787
(828) 737-7000
(828) 737-7034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H0037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080F
NC BLUE CROSS SNF
NC
01
—
152168200
OWCP SNF PROV NUMBER
NC
05
—
3405352
—
NC
05
—
3450005
—
NC
05
—
3451323
—
NC
01
—
5070877
UNITED HEALTHCARE SNF #
NC
Enumeration date
12/13/2006
Last updated
01/17/2025
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