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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