CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC
NPI 1215098132
Emergency Medicine - Emergency Medical Services in Linville, NC

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

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Active since December 13, 2006

434 HOSPITAL DRIVE, LINVILLE, NC 28646(828) 262-9154(828) 262-9159 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Charles A. Cannon, Jr. Memorial Hospital, Inc NPPES

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

CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC (NPI 1215098132) is a healthcare organization registered as an emergency medical services in Linville, North Carolina and active in the NPI registry since December 2006. The organization lists Mary Etta Long, Sr Vp Medical Staff Services, as its authorized official.

NPPES Registry Identity

NPI1215098132

Entity TypeOrganization

Primary Taxonomy207PE0004X

Legal Business NameCHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC

Location Address434 HOSPITAL DRIVELinville, NC 28646-0787

Mailing AddressPo Box 787Linville, NC 28646-0787 · (828) 262-9154 · Fax (828) 262-9159

Phone(828) 262-9154

Fax(828) 262-9159

Organization SubpartNo

Authorized OfficialMary Etta LongSr Vp Medical Staff Services · (828) 262-4133

Enumeration DateDecember 13, 2006

Last NPPES UpdateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1215098132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

Definition

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.

434 HOSPITAL DRIVE, Linville, NC 28646

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Other Identifiers 3

Medicaid8907744NC

Other019MGBlue Cross Of Nc

Other0094980NC · Bluecare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LINVILLE EMERGENCY PHYSICIANS PLLC

Emergency Medicine

434 HOSPITAL DRIVE
LINVILLE, NC 28646

Avery County (877) 693-5700

CHARLES HYPES

Physical Therapist

434 HOSPITAL DRIVE, CHARLES A CANNON MEMORIAL HOSPITAL
LINVILLE, NC 28646

Avery County (828) 737-7520

DR. DANA RENEE WATSON D.P.T.

Physical Therapist

434 HOSPITAL DRIVE
LINVILLE, NC 28646

Avery County (828) 737-7520

KRISTINE WELBORN OTR

Occupational Therapist

434 HOSPITAL DRIVE
LINVILLE, NC 28646

Avery County (828) 737-7520

MS. JENNIFER F. WOMBLE LCSW

Social Worker (Clinical)

434 HOSPITAL DRIVE
LINVILLE, NC 28646

Avery County (828) 737-7000

MARK BARDOU MD

Emergency Medicine

434 HOSPITAL DRIVE
LINVILLE, NC 28646

Avery County (828) 737-7449

MELISSA SINCLAIR FREEMAN LCSW-A

Social Worker (Clinical)

434 HOSPITAL DRIVE, BEHAVIORAL HEALTH SERVICES
LINVILLE, NC 28646

Avery County (828) 737-7000

MRS. MELISSA KEITH DAVIS MSW, LCSW-A

Social Worker (Clinical)

434 HOSPITAL DRIVE
LINVILLE, NC 28646

Avery County (828) 773-7863

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 1215098132. It was assigned to this organization in the NPPES registry on December 13, 2006.

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

Charles A. Cannon, Jr. Memorial Hospital, Inc is located at 434 Hospital Drive, Linville, NC 28646. The listed phone number is (828) 262-9154.

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

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

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 with the weekly NPPES data releases published by CMS.