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	251E00000X	Home Health Agency	HC0430	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	:	1295752954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WRMC HOSPITAL OPERATING CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 609
Second Line	:	1907 WEST PARK DRIVE
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-0609
Country	:	US
Telephone Number	:	336-903-7700
Fax Number	:	336-903-7730

Provider Business Practice Location Address
First Line	:	1907 W PARK DR
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3564
Country	:	US
Telephone Number	:	336-903-7700
Fax Number	:	336-903-7730

Authorized Official
Title or Position	:	VP FINANCE & CFO
Name	:	MR. MARLIN MARKHAM
Credential	:
Telephone Number	:	336-651-8510

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/15/2012

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