CHARLES A. CANNON JR. MEMORIAL HOSPITAL – NPI #1912002189
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
CHARLES A. CANNON JR. MEMORIAL HOSPITAL is an AHC clinic located in LINVILLE, NC. NPPES has assigned the NPI number 1912002189 to CHARLES A. CANNON JR. MEMORIAL HOSPITAL on September 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was last updated on Jan 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES A. CANNON JR. MEMORIAL HOSPITAL below.
NPI Profile for
CHARLES A. CANNON JR. MEMORIAL HOSPITAL
(about 20 years ago)
All associated names:
Cannon Medical Associates
SUITE 210
LINVILLE, NC 28646 Phone: (828) 737-7865 Fax: (828) 737-7867
LINVILLE, NC 28646-0459 Phone: (828) 737-7865 Fax: (828) 737-7867
DIRECTOR PATIENT FIN. SERVICES
Phone: (828) 737-7011
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for CHARLES A. CANNON JR. MEMORIAL HOSPITAL
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BC OF NC GRP PROV NUMBER | NC | 018G2 |
| other | BC OF NC GRP PROV NUMBER | NC | 132NK |
| medicaid | NC | 89132NK | |
| medicaid | NC | 5902144 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
NC | H0037 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
- Endpoint type
- CONNECT URL
- Endpoint Description
- 2.16.840.1.113883.3.1068.1
- Content Type
- Affiliation
- Y
- Endpoint Location
-
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669