Healthcare Provider Details

I. General information

NPI: 1215977194
Provider Name (Legal Business Name): CALDWELL MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 MORGANTON BLVD SW
LENOIR NC
28645-8183
US

IV. Provider business mailing address

321 MULBERRY ST SW MEDICAL STAFF SERVICES
LENOIR NC
28645-5720
US

V. Phone/Fax

Practice location:
  • Phone: 828-757-8950
  • Fax: 828-757-8968
Mailing address:
  • Phone: 828-757-5965
  • Fax: 828-757-5104

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 Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN SHADOWENS
Title or Position: CFO
Credential:
Phone: 828-757-5100