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Organization
CALDWELL MEMORIAL HOSPITAL, INC
Active
Organization
CALDWELL MEMORIAL HOSPITAL, INC
Active
Parent organization
CALDWELL MEMORIAL HOSPITAL, INC.
Other names
Southfork Medical Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALDWELL MEMORIAL HOSPITAL, INC.
Authorized official
KAREN SHADOWENS (CFO)
(336) 627-8512
Entity
Organization
Contact information
Practice address
1731 CONNELLY SPRINGS RD, LENOIR, NC 28645-7827
(828) 757-6300
(828) 757-6324
Mailing address
321 MULBERRY ST SW, MEDICAL STAFF SERVICES, LENOIR, NC 28645-5720
(828) 757-5965
(828) 757-5104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790118N
—
NC
Enumeration date
07/30/2006
Last updated
05/08/2025
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