Organization
CHARLES A CANNON JR MEMORIAL HOSPITAL, INC.
Active
Other names
Elk River Center for Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ETTA LONG (SR. VP MEDICAL STAFF RELATIONS)
(828) 262-4133
Entity
Organization
Contact information
Practice address
150 PARK AVE, BANNER ELK, NC 28604-6604
(828) 898-5178
(828) 262-4103
Mailing address
155 FURMAN RD STE 202, BOONE, NC 28607-5049
(828) 263-1211
(828) 262-4103
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
01/15/2025
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