Charles a Cannon Jr Memorial Hospital, Inc.
NPI 1073073953 · Rural Health Clinic/Center · Banner Elk, NC
Charles a Cannon Jr Memorial Hospital, Inc. is a Rural Health Clinic/Center organization in Banner Elk, NC (NPI 1073073953).
Provider details
- NPI number
- 1073073953
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Long, Sr. Vp Medical Staff Relations(828) 262-4133
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Elk River Center for Primary Care
- Doing business as
- Elk River Center for Primary Care
Registry dates
- Enumerated
- 2019-03-25
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Charles a Cannon Jr Memorial Hospital, Inc.'s NPI number?
- Charles a Cannon Jr Memorial Hospital, Inc.'s National Provider Identifier (NPI) is 1073073953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles a Cannon Jr Memorial Hospital, Inc.?
- Charles a Cannon Jr Memorial Hospital, Inc. is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Charles a Cannon Jr Memorial Hospital, Inc. located?
- Charles a Cannon Jr Memorial Hospital, Inc.'s practice location on file with NPPES is 150 Park Ave, Banner Elk, NC 28604-6604.
- What is Charles a Cannon Jr Memorial Hospital, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Charles a Cannon Jr Memorial Hospital, Inc. is (828) 898-5178.
- Who is the authorized official for Charles a Cannon Jr Memorial Hospital, Inc.?
- The authorized official listed on Charles a Cannon Jr Memorial Hospital, Inc.'s NPPES record is Mary Long, Sr. Vp Medical Staff Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles a Cannon Jr Memorial Hospital, Inc.'s NPI active?
- Yes — Charles a Cannon Jr Memorial Hospital, Inc.'s NPI (1073073953) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.