1700184470 NPI number — CALDWELL MEMORIAL HOSPTIAL, INC

Table of content: (NPI 1700184470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700184470 NPI number — CALDWELL MEMORIAL HOSPTIAL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALDWELL MEMORIAL HOSPTIAL, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700184470
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
322 MULBERRY ST SW
Provider Second Line Business Mailing Address:
MEDICAL STAFF SERVICES
Provider Business Mailing Address City Name:
LENOIR
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28645-5702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-757-5965
Provider Business Mailing Address Fax Number:
828-757-5104

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
322 MULBERRY ST SW
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
LENOIR
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28645-5702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-757-6464
Provider Business Practice Location Address Fax Number:
828-757-6424
Provider Enumeration Date:
03/04/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SHADOWENS
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
336-627-8512

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com