MEDICARE: WRMC HOSPITAL OPERATING CORPORATION

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	251G00000X	Community Based Hospice Care Agency		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265453765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WRMC HOSPITAL OPERATING CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 609
Second Line	:	1908 WEST PARK DRIVE
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-0609
Country	:	US
Telephone Number	:	336-651-8100
Fax Number	:	336-651-8465

Provider Business Practice Location Address
First Line	:	1908 W PARK DR
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3563
Country	:	US
Telephone Number	:	336-651-8100
Fax Number	:	336-651-8465

Authorized Official
Title or Position	:	VP FINANCE & CFO
Name	:	MR. MARLIN MARKHAM
Credential	:
Telephone Number	:	336-651-8510

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	11/15/2012

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Directions to “WRMC HOSPITAL OPERATING CORPORATION ” Practice Location

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