Organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Active
Parent organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Other names
Hospice and Palliative Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Authorized official
CAROL HILL (PROVIDER ENROLLMENT SPECIALIST)
(828) 651-6579
Entity
Organization
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1740
Mailing address
PO BOX 603366, CHARLOTTE, NC 28260-3366
(828) 651-6575
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
—
—
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
—
—
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02CG9
BCBS
NC
Enumeration date
11/30/2018
Last updated
11/30/2018
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