Organization
WATAUGA MEDICAL CENTER INC
Active
Parent organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Other names
Watauga Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Authorized official
MS. MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS)
(828) 262-4133
Entity
Organization
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4100
(828) 262-4157
Mailing address
155 FURMAN RD, SUITE 101, BOONE, NC 28607-5049
(828) 262-4438
(828) 262-4157
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
H0037
NC
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00576
BCBS
NC
05
—
0340051
—
TN
05
—
3400051
—
NC
Enumeration date
07/25/2006
Last updated
11/10/2023
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