CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. – NPI #1821403957
Hospitalist

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. is a hospitalist located in LINVILLE, NC. NPPES has assigned the NPI number 1821403957 to CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. on June 27, 2014. 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 208M00000X from the Health Care Provider Taxonomy code set, which is classified as Hospitalist.

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, INC. below.

NPI Profile for
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC.

NPI Number
1821403957
Enumeration Date

(about 12 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.
Other name(s)
All associated names:

Doing Business As (dba)
Cannon Inpatient Physician Group
Primary location
434 HOSPITAL DRIVE
LINVILLE, NC 28646-0787
Phone: (828) 737-7000 Fax: (828) 737-7491
Mailing address
155 FURMAN RD
SUITE 101
BOONE, NC 28607-5049
Phone: (828) 263-1211 Fax: (828) 263-1211
Organization Subpart
Yes - CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. is subpart of another organization.
Authorized Official
MARY LONG
SR VP MEDICAL STAFF SERVICES
Phone: (828) 262-4133
Updated
Certification Date
Jan 17, 2025

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.

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
208M00000X
- Hospitalist (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.

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