Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles a Cannon Jr Memorial Hospital, Inc

Organization Rural Health Clinic/Center · NPI 1073073953

Charles a Cannon Jr Memorial Hospital, Inc is a Rural Health Clinic/Center in Banner Elk, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

150 Park Ave
Banner Elk, NC 28604-6604
Phone: (828) 898-5178
Fax: (828) 262-4103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1073073953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Long — Sr. Vp Medical Staff Relations · (828) 262-4133
Other names Elk River Center For Primary Care; Elk River Center For Primary Care
NPI enumeratedMarch 25, 2019
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address155 Furman Rd Ste 202, Boone, NC 28607-5049