MEDICARE: WRMC HOSPITAL OPERATING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	H0153	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033130547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WRMC HOSPITAL OPERATING CORPORATION

Provider Business Mailing Address
First Line	:	1917A W PARK DR
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3564
Country	:	US
Telephone Number	:	336-651-8010
Fax Number	:	336-667-4457

Provider Business Practice Location Address
First Line	:	1917A WEST PARK DR
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3564
Country	:	US
Telephone Number	:	336-651-8060
Fax Number	:	336-667-4457

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHAD BROWN
Credential	:
Telephone Number	:	336-713-4944

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	10/20/2025

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1295752954 — WRMC HOSPITAL OPERATING CORPORATION
Practice Location Address:

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Practice Fax: 336-903-7730

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