Organization
CATAWBA VALLEY MEDICAL GROUP, INC
Active
Parent organization
CATAWBA VALLEY MEDICAL CENTER
Other names
CATAWBA VALLEY FAMILY CARE - CATAWBA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATAWBA VALLEY MEDICAL CENTER
Authorized official
DAVID J BOONE (SR VP OF FINANCE/CFO)
(828) 326-3809
Entity
Organization
Contact information
Practice address
200 ROSENWALD SCHOOL ST SW, CATAWBA, NC 28609-8896
(828) 241-2377
(828) 241-2678
Mailing address
200 ROSENWALD SCHOOL ST SW, CATAWBA, NC 28609-8896
(828) 241-2377
(828) 241-2678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026CP
NC BCBS
NC
05
—
1790062362
—
NC
Enumeration date
11/10/2011
Last updated
07/09/2013
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