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NPI Code Detail

MEDICARE: CALDWELL MEMORIAL HOSPITAL, INC

MEDICARE: CALDWELL 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
1208600000XSurgery PhysicianH0061NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102A8XOTHERNCBCBS

General Provider Information

NPI Number : 1346658531
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALDWELL MEMORIAL HOSPITAL, INC
Provider Business Mailing Address
First Line : 321 MULBERRY ST SW
Second Line : MEDICAL STAFF SERVICES
City : LENOIR
State : NC
Zip : 28645-5720
Country : US
Telephone Number : 828-757-5965
Fax Number : 828-757-5104
Provider Business Practice Location Address
First Line : 1031 MORGANTON BLVD SW
Second Line : SUITE C
City : LENOIR
State : NC
Zip : 28645-5677
Country : US
Telephone Number : 828-757-8240
Fax Number : 828-757-8241
Authorized Official
Title or Position : CFO
Name : KAREN SHADOWENS
Credential :
Telephone Number : 828-757-5100
Provider Enumeration Date : 07/31/2014
Last Update Date : 01/17/2025

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