| Caldwell Memorial Hospital, Inc. | |
|
36 14th Ave Ne Ste 2b Hickory NC 28601-2580 | |
| (828) 757-6275 | |
| Not Available |
| Full Name | Caldwell Memorial Hospital, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 36 14th Ave Ne Ste 2b, Hickory, North Carolina |
| Authorized Official Name and Position | Karen Shadowens (CFO) |
| Authorized Official Contact | 3366278512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Memorial Hospital, Inc. 321 Mulberry St Sw Lenoir NC 28645-5720 Ph: (182) 875-7510 | Caldwell Memorial Hospital, Inc. 36 14th Ave Ne Ste 2b Hickory NC 28601-2580 Ph: (828) 757-6275 |
| NPI Number | 1831965201 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 5395646970 |
|---|---|
| Medicare Enrollment ID | O20240402000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831965201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Richelle C Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730330267 PECOS PAC ID: 0345392478 Enrollment ID: I20090720000608 |
| Provider Name | Jamie Millicent Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265949747 PECOS PAC ID: 8628331345 Enrollment ID: I20180411001450 |
| Provider Name | Michael Joseph Kilby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922728773 PECOS PAC ID: 6709115603 Enrollment ID: I20221123002700 |
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