Organization
CHARLES A CANNON JR MEMORIAL HOSPITAL INC.
Active
Parent organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Other names
Appalachian Regional Healthcare System
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Authorized official
MRS. MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS)
(828) 262-4133
Entity
Organization
Contact information
Practice address
434 HOSPITAL DRIVE, LINVILLE, NC 28646-0787
(828) 262-4133
(828) 262-4103
Mailing address
155 FURMAN RD, SUITE 101, BOONE, NC 28607-5049
(828) 262-4111
(828) 262-4157
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
282NC0060X
Critical Access Hospital
Primary
H0037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00103
NC BLUE CROSS ACUTE CARE
NC
05
—
0340005
—
TN
01
—
152168200
OWCP ACUTE CARE PROV NUMB
NC
01
—
290780
MAMSI ACUTE CARE PROV NUM
NC
05
—
3401323
—
NC
01
—
5070877
UNITED HEALTHCARE ACUTE #
NC
05
—
6065
—
TN
Enumeration date
05/11/2006
Last updated
11/10/2023
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