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ELK RIVER CENTER FOR PRIMARY CARE
NPI 1073073953
Clinic/Center - Rural Health in Banner Elk, NC

Active since March 25, 2019
150 PARK AVE, BANNER ELK, NC 28604(828) 898-5178(828) 262-4103 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elk River Center For Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELK RIVER CENTER FOR PRIMARY CARE (NPI 1073073953) is a healthcare organization registered as a rural health in Banner Elk, North Carolina and active in the NPI registry since March 2019. The organization lists Mary Etta Long, Sr. Vp Medical Staff Relations, as its authorized official.

NPPES Registry Identity

NPI1073073953
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCHARLES A CANNON JR MEMORIAL HOSPITAL, INC.
Location Address150 PARK AVEBanner Elk, NC 28604-6604
Mailing Address155 Furman Rd Ste 202Boone, NC 28607-5049 · (828) 263-1211 · Fax (828) 262-4103
Phone(828) 898-5178
Fax(828) 262-4103
Organization SubpartNo
Authorized OfficialMary Etta LongSr. Vp Medical Staff Relations · (828) 262-4133
Enumeration DateMarch 25, 2019
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1073073953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
150 PARK AVE, Banner Elk, NC 28604
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Other Names 1

Doing Business AsElk River Center For Primary Care

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID PAUL KIMMEL MD
Internal Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5177
ELK RIVER MEDICAL ASSOCIATES, PA
Clinic/Center (Multi-Specialty)
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5177
APPALACHIAN REGIONAL MEDICAL ASSOCIATES
Family Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 262-9127
DR. ALFRED DOUGLAS EARWOOD MD
Family Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles A Cannon Jr Memorial Hospital, Inc.'s NPI number?

The NPI number for Charles A Cannon Jr Memorial Hospital, Inc. is 1073073953. It was assigned to this organization in the NPPES registry on March 25, 2019. The provider is doing business as Elk River Center For Primary Care.

Where is Charles A Cannon Jr Memorial Hospital, Inc. located?

Charles A Cannon Jr Memorial Hospital, Inc. is located at 150 Park Ave, Banner Elk, NC 28604. The listed phone number is (828) 898-5178.

What is Charles A Cannon Jr Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Charles A Cannon Jr Memorial Hospital, Inc. was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.