Healthcare Provider Details

I. General information

NPI: 1861405466
Provider Name (Legal Business Name): CATAWBA VALLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 FAIRGRV CHURCH RD
HICKORY NC
28602-9617
US

IV. Provider business mailing address

810 FAIRGRV CHURCH RD
HICKORY NC
28602-9617
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 TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number02370
License Number StateNC

VIII. Authorized Official

Name: STEVEN HAMM
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 828-326-3363