Provider Demographics
NPI:1538352174
Name:MISSION HOSPITALS INC.
Entity type:Organization
Organization Name:MISSION HOSPITALS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIST TECH
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEILIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-213-0840
Mailing Address - Street 1:PO BOX 15268
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28813-0268
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:348 GRACE CORPENING DR
Practice Address - Street 2:SUITE A
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-5864
Practice Address - Country:US
Practice Address - Phone:828-652-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906858Medicaid
NC2351535PMedicare Oscar/Certification