Organization
CHARLES A CANNON JR MEMORIAL HOSPITAL INC
Active
Parent organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Other names
Cannon Inpatient Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Authorized official
MRS. MARY ETTA LONG RHIA-CPMSM (SR VP MEDICAL STAFF RELATIONS)
(828) 262-4133
Entity
Organization
Contact information
Practice address
434 HOSPITAL DRIVE, LINVILLE, NC 28646-0787
(828) 737-7000
(828) 737-7709
Mailing address
155 FURMAN RD STE 101, BOONE, NC 28607-5049
(828) 262-9100
(828) 262-4157
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
273R00000X
Psychiatric Hospital Unit
Primary
H0037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021YE
BCBSNC
NC
05
—
3401323S
—
NC
Enumeration date
09/22/2008
Last updated
01/15/2025
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