Healthcare Provider Details

I. General information

NPI: 1649196742
Provider Name (Legal Business Name): CATAWBA VALLEY MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 3RD AVE NE STE 500
HICKORY NC
28601-5055
US

IV. Provider business mailing address

10 3RD AVE NE STE 500
HICKORY NC
28601-5055
US

V. Phone/Fax

Practice location:
  • Phone: 828-304-6363
  • Fax: 828-304-0033
Mailing address:
  • Phone: 828-304-6363
  • Fax: 828-304-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA J GALLAGHER
Title or Position: VP OF FINANCE/CFO
Credential:
Phone: 828-326-3800