| Organization Name: | CHARLES A CANNON JR MEMORIAL HOSPITAL INC. |
| NPI Number: | 1225088255 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS) |
| Mailing Address: | 434 Hospital Drive Linville |
| State: | NC US |
| Postal Code: | 286460787 |
| Phone Number: | 8282624438 |
| Fax Number: | 8282629159 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 05/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | H0037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |