Healthcare Provider Details

I. General information

NPI: 1447655147
Provider Name (Legal Business Name): CATAWBA VALLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 TATE BLVD SE STE 102
HICKORY NC
28602-1385
US

IV. Provider business mailing address

1501 TATE BLVD SE STE 102
HICKORY NC
28602-1385
US

V. Phone/Fax

Practice location:
  • Phone: 828-326-3310
  • Fax: 828-326-3407
Mailing address:
  • Phone: 828-326-3310
  • Fax: 828-326-3407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number12095
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number12095
License Number StateNC

VIII. Authorized Official

Name: ABIGAIL BOEHM
Title or Position: PHARMACY MANAGER
Credential:
Phone: 828-326-3310