MEDICARE: HUGH CHATHAM MEMORIAL HOSPITAL

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	235Z00000X	Speech-Language Pathologist
2	261QR0400X	Rehabilitation Clinic/Center
3	251E00000X	Home Health Agency	HC0346	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	:	1609862192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUGH CHATHAM MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	560 WINSTON RD STE B
Second Line	:
City	:	JONESVILLE
State	:	NC
Zip	:	28642-2217
Country	:	US
Telephone Number	:	336-526-6460
Fax Number	:	336-526-6468

Provider Business Practice Location Address
First Line	:	560 WINSTON RD STE B
Second Line	:
City	:	JONESVILLE
State	:	NC
Zip	:	28642-2217
Country	:	US
Telephone Number	:	336-526-6460
Fax Number	:	336-526-6468

Authorized Official
Title or Position	:	VP FINANCE
Name	:	DONALD TRIPPEL
Credential	:
Telephone Number	:	336-527-7216

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	03/27/2025

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