Healthcare Provider Details

I. General information

NPI: 1740312552
Provider Name (Legal Business Name): CALDWELL MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MULBERRY ST SW
LENOIR NC
28645-1890
US

IV. Provider business mailing address

PO BOX 710
LENOIR NC
28645-0710
US

V. Phone/Fax

Practice location:
  • Phone: 828-757-5100
  • Fax: 828-757-5937
Mailing address:
  • Phone: 828-757-5100
  • Fax: 828-757-6193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH0074
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: KAREN SHADOWENS
Title or Position: CFO
Credential:
Phone: 336-627-8512