Provider Demographics
| NPI: | 1376551747 |
|---|---|
| Name: | MURPHY MEDICAL CENTER, INC. |
| Entity type: | Organization |
| Organization Name: | MURPHY MEDICAL CENTER, INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR OF REIMBURSEMENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MIKE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SHAVER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 423-778-4712 |
| Mailing Address - Street 1: | 75 MEDICAL PARK LN |
| Mailing Address - Street 2: | SUITE D |
| Mailing Address - City: | MURPHY |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 28906-6667 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 828-837-1332 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 75 MEDICAL PARK LN |
| Practice Address - Street 2: | SUITE D |
| Practice Address - City: | MURPHY |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 28906-6667 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 828-837-1332 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | MURPHY MEDICAL CENTER, INC. |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2006-08-03 |
| Last Update Date: | 2020-07-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Single Specialty |