Organization
CALDWELL MEMORIAL HOSPITAL, INC.
Active
Parent organization
CALDWELL MEMORIAL HOSPITAL, INC.
Other names
Caldwell Family Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALDWELL MEMORIAL HOSPITAL, INC.
Authorized official
DONALD F GARDNER JR. (VP/ CFO/CCO)
(828) 757-5221
Entity
Organization
Contact information
Practice address
212 MULBERRY ST SW, LENOIR, NC 28645-5414
(828) 759-4900
(828) 754-6833
Mailing address
PO BOX 710, LENOIR, NC 28645-0710
(828) 757-5070
(828) 757-5939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117Y
BCBS
NC
05
—
890117Y
—
NC
01
—
CC2061
RR MEDICARE
NC
Enumeration date
07/30/2006
Last updated
02/04/2010
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