Healthcare Provider Details

I. General information

NPI: 1134372477
Provider Name (Legal Business Name): HUGH CHATHAM MEMORIAL HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CHATHAM MEDICAL PARK
ELKIN NC
28621-2482
US

IV. Provider business mailing address

360 PARKWOOD MEDICAL PARK
ELKIN NC
28621-2444
US

V. Phone/Fax

Practice location:
  • Phone: 336-835-4819
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL H HAMMES
Title or Position: CEO
Credential:
Phone: 336-655-6025