MEDICARE: HUGH CHATHAM MEMORIAL HOSPITAL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
2	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1205061256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUGH CHATHAM MEMORIAL HOSPITAL, INC

Provider Business Mailing Address
First Line	:	520 CHATHAM MEDICAL PARK
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621
Country	:	US
Telephone Number	:	336-835-1324
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 WINSTON RD
Second Line	:
City	:	JONESVILLE
State	:	NC
Zip	:	28642-2217
Country	:	US
Telephone Number	:	336-527-7298
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF BUSINESS SERVICES
Name	:	ANNA C ROBINSON
Credential	:
Telephone Number	:	336-527-7567

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	03/28/2023

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