CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC – NPI #1215098132
Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC is a provider located in LINVILLE, NC. NPPES has assigned the NPI number 1215098132 to CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC on December 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services
The NPI profile was last updated on Jan 15, 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, INC below.
NPI Profile for
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC
(more than 19 years ago)
LINVILLE, NC 28646-0787 Phone: (828) 262-9154 Fax: (828) 262-9159
LINVILLE, NC 28646-0787 Phone: (828) 262-9154 Fax: (828) 262-9159
SR VP MEDICAL STAFF SERVICES
Phone: (828) 262-4133
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, INC
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 | BLUE CROSS OF NC | 019MG | |
| other | BLUECARE | NC | 0094980 |
| medicaid | NC | 8907744 |
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 |
|---|---|---|
| 207PE0004X - Emergency Medicine / Emergency Medical Services (Primary) |
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