| Organization Name: | CHARLES A. CANNON, JR. MEMORIAL HOSPTIAL, INC. |
| NPI Number: | 1588056626 |
| 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: | 8287377520 |
| Fax Number: | 8287377529 |
| NPI Enumeration Date: | 02/26/2015 |
| NPI Last Update Date: | 02/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |