Provider Demographics
NPI: | 1376551747 |
---|---|
Name: | MURPHY MEDICAL CENTER, INC. |
Entity type: | Organization |
Organization Name: | MURPHY MEDICAL CENTER, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF REIMBURSEMENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MIKE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SHAVER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 423-778-4712 |
Mailing Address - Street 1: | 75 MEDICAL PARK LN |
Mailing Address - Street 2: | SUITE D |
Mailing Address - City: | MURPHY |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28906-6667 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 828-837-1332 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 75 MEDICAL PARK LN |
Practice Address - Street 2: | SUITE D |
Practice Address - City: | MURPHY |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28906-6667 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-837-1332 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | MURPHY MEDICAL CENTER, INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2006-08-03 |
Last Update Date: | 2020-07-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Single Specialty |