NPIMap

Organization Active NPI

MH Mission Hospital, LLLP

  • Clinic/Center
  • Clyde, NC
National Provider Identifier
1619801693
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MH MISSION HOSPITAL, LLLP
Practice address
360 Hospital Dr Ste 103B
Clyde, NC 28721-0107
Phone
(828) 213-1137
NPI assigned
Jun 12, 2026
Organization subpart
Yes
Parent organization
MH MISSION HOSPITAL, LLLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Castleberry
Title
Cfo
Phone
(828) 213-7309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

360 Hospital Dr Ste 103B
Clyde, NC 28721-0107

Mailing address

360 Hospital Dr Ste 103B
Clyde, NC 28721-0107
Phone (828) 213-1137

Other names 1

  • Mission Wound Healing Center, a department of Mission Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

National Provider Directory

National Provider Directory
Tax ID family
MH Mission Hospital LLLP29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

360 Hospital Dr
Ste 103B
Clyde, NC 28721

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1619801693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HOSPITAL DR STE 103B",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287210107",
            "telephone_number": "828-213-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HOSPITAL DR STE 103B",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287210107",
            "telephone_number": "828-213-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH MISSION HOSPITAL, LLLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH MISSION HOSPITAL, LLLP",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-213-7309"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mission Wound Healing Center, a department of Mission Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.