=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033130547
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WRMC HOSPITAL OPERATING CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2006
-----------------------------------------------------
Last Update Date | 10/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1917A WEST PARK DR
-----------------------------------------------------
City | NORTH WILKESBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28659-3564
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-651-8060
-----------------------------------------------------
Fax | 336-667-4457
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1917A W PARK DR
-----------------------------------------------------
City | NORTH WILKESBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28659-3564
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-651-8010
-----------------------------------------------------
Fax | 336-667-4457
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | CHAD BROWN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 336-713-4944
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QE0700X
-----------------------------------------------------
Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
-----------------------------------------------------
License Number | H0153
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------