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Organization
GASTON MEMORIAL HOSPITAL, INCORPORATED
Active
Organization
GASTON MEMORIAL HOSPITAL, INCORPORATED
Active
Other names
CaroMont Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID O'CONNOR (VICE PRESIDENT / CFO)
(704) 834-2127
Entity
Organization
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
(704) 834-2500
Mailing address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
(704) 834-2500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00207
BLUE CROSS
—
01
—
0067840
AETNA
—
01
—
0590625010
CIGNA
—
01
—
312280
FEDERAL BLACKLUNG
—
05
—
3400032
—
NC
01
—
3697
WELLPATH
—
01
—
371708500
DEPARTMENT OF LABOR
—
05
—
460595
—
SC
01
—
5040770
UNITED HEALTHCARE
—
01
—
680HOS
PARTNERS MEDICARE
—
Enumeration date
08/02/2005
Last updated
02/26/2014
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