CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. (NPI# 1437541984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437541984 |
| Entity Type | Organization |
| Organization Name | CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. |
| Other Organization Name | OUTPATIENT LABORATORY |
| Practice Address |
434 Hospital Drive Linville NC 28646-0787 |
| Practice Telephone | 8287377000 |
| Practice Fax Number | 8282624103 |
| Mailing Telephone | 8287377000 |
| Mailing Fax Number | 8282624103 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |
| Authorized Official Name | MS. MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS) |
| Authorized Official Telephone | 8282624133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | H0077 | NC | Laboratories |
| Other Name | Type Code |
|---|---|
| Outpatient Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006385 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Nuclear Medicine | 434 Hospital Drive, Linville, NC 28646-0787 | 2016-07-27 |
| 1821403957 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2014-06-27 |
| 1083845390 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2009-08-04 |
| Street Address |
434 HOSPITAL DRIVE |
| City | LINVILLE |
| State | NC |
| Zip Code | 28646-0787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221555 | Kristine Welborn | Occupational Therapist | 434 Hospital Drive, Linville, NC 28646-0787 | 2005-11-04 |
| 1891271888 | Melissa Keith Davis | Social Worker | 434 Hospital Drive, Linville, NC 28646 | 2018-07-13 |
| 1477006385 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Nuclear Medicine | 434 Hospital Drive, Linville, NC 28646-0787 | 2016-07-27 |
| 1316397920 | Melissa Sinclair Freeman | Social Worker | 434 Hospital Drive, Behavioral Health Services, Linville, NC 28646 | 2016-06-14 |
| 1891187605 | Dana Renee Watson | Physical Therapist | 434 Hospital Drive, Linville, NC 28646-0787 | 2015-03-03 |
| 1255723318 | Charles Hypes | Physical Therapist | 434 Hospital Drive, Charles A Cannon Memorial Hospital, Linville, NC 28646-0787 | 2015-02-26 |
| 1588056626 | Charles A. Cannon, Jr. Memorial Hosptial, Inc. | Clinic/Center | 434 Hospital Drive, Linville, NC 28646-0787 | 2015-02-26 |
| 1821403957 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2014-06-27 |
| 1790009397 | Appalachian Regional Medical Associates, Inc. | Family Medicine | 434 Hospital Drive, Linville, NC 28646-0787 | 2010-03-25 |
| 1083845390 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2009-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679831135 | Graystone Ophthalmology Associates, Pa | Ophthalmology | 436 Hospital Dr Suite #110, Linville, NC 28646 | 2012-05-02 |
| 1255417358 | Mountain Laurel Internal Medicine,pa | Clinic/Center | 2139 Linville Falls Hwy, Linville, NC 28646 | 2006-10-31 |
| 1912002189 | Charles A. Cannon Jr. Memorial Hospital | Clinic/Center | 436 Hospital Dr, Sloop Medical Office Plaza, Suite 210, Linville, NC 28646 | 2006-09-13 |
| 1033147327 | Joe L Hawkins | Specialist/Technologist | 340 Wahoo Lane, Linville, NC 28646 | 2006-06-28 |
| 1104869288 | Heidi Aldridge | Emergency Medicine | 434 Hospital Dr, Linville, NC 28646 | 2006-06-14 |
| 1881681856 | Tate Clinic Pa | Surgery | 436 Hospital Dr, Ste 200, Linville, NC 28646 | 2005-10-04 |
| 1750378725 | Thomas M Haizlip Jr. | Surgery | 436 Hospital Drive, Suite 200, Linville, NC 28646 | 2005-10-04 |
| 1558975219 | Appalachian Regional Behavioral Healthcare Inc | Psychiatric Hospital | 432 Hospital Dr, Linville, NC 28646 | 2020-09-01 |
| 1760017826 | Susan Ulricke Schleith | Nurse Practitioner | 434 Hospital Dr, Suite 235, Linville, NC 28646 | 2020-03-10 |
| 1528537552 | Jennie Goodwin | Nurse Practitioner | 436 Hospital Dr, Unit 230, Linville, NC 28646 | 2018-11-20 |
| Find all providers in zip 28646 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.