APPALACHIAN REGIONAL HEALTHCARE SYSTEM – NPI #1225088255
General Acute Care Hospital

APPALACHIAN REGIONAL HEALTHCARE SYSTEM is a general acute care hospital located in LINVILLE, NC. NPPES has assigned the NPI number 1225088255 to APPALACHIAN REGIONAL HEALTHCARE SYSTEM on May 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “APPALACHIAN REGIONAL HEALTHCARE SYSTEM” is a dba name, the actual legal business name for this organization is CHARLES A CANNON JR MEMORIAL HOSPITAL INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 3 years ago on Nov 10, 2023. 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 APPALACHIAN REGIONAL HEALTHCARE SYSTEM below.

NPI Profile for
CHARLES A CANNON JR MEMORIAL HOSPITAL INC.

NPI Number
1225088255
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES A CANNON JR MEMORIAL HOSPITAL INC.
Doing Business As (dba): APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Primary location
434 HOSPITAL DRIVE
LINVILLE, NC 28646-0787
Phone: (828) 262-4133 Fax: (828) 262-4103
Mailing address
155 FURMAN RD
SUITE 101
BOONE, NC 28607-5049
Phone: (828) 262-4111 Fax: (828) 262-4157
Organization Subpart
Yes - APPALACHIAN REGIONAL HEALTHCARE SYSTEM is subpart of another organization.
Authorized Official
MARY LONG
SR VP MEDICAL STAFF RELATIONS
Phone: (828) 262-4133
Updated
Certification Date
Nov 10, 2023

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

Identifiers for APPALACHIAN REGIONAL HEALTHCARE SYSTEM

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.

See identifiers
DescriptionIssuerStateIdentifier
otherMAMSI ACUTE CARE PROV NUMNC290780
otherNC BLUE CROSS ACUTE CARENC00103
otherOWCP ACUTE CARE PROV NUMBNC152168200
otherUNITED HEALTHCARE ACUTE #NC5070877
medicaidNC3401323
medicaidTN0340005
medicaidTN6065
Taxonomy Code(s)

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
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
NC H0037
282N00000X
- General Acute Care Hospital

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.

Endpoint

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