# CALDWELL MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALDWELL MEMORIAL HOSPITAL, INC.
- **Other names:** Caldwell Family Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679588420
- **Legal business name:** CALDWELL MEMORIAL HOSPITAL, INC.
- **Authorized official:** DONALD F GARDNER JR. (VP/ CFO/CCO)
- **Authorized official phone:** (828) 757-5221

## Contact information

- **Practice address:** 212 MULBERRY ST SW, LENOIR, NC 28645-5414
- **Practice address phone:** (828) 759-4900
- **Practice address fax:** (828) 754-6833
- **Mailing address:** PO BOX 710, LENOIR, NC 28645-0710
- **Mailing address phone:** (828) 757-5070
- **Mailing address fax:** (828) 757-5939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 02/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0117Y | BCBS | NC |
| 05 | — | 890117Y | — | NC |
| 01 | — | CC2061 | RR MEDICARE | NC |