| Caldwell Memorial Hospital, Inc. | |
|
36 14th Ave Ne Hickory NC 28601-2580 | |
| (828) 757-6265 | |
| Not Available |
| Full Name | Caldwell Memorial Hospital, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 36 14th Ave Ne, 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: (828) 757-5100 | Caldwell Memorial Hospital, Inc. 36 14th Ave Ne Hickory NC 28601-2580 Ph: (828) 757-6265 |
| NPI Number | 1861268245 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 5395646970 |
|---|---|
| Medicare Enrollment ID | O20240325000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861268245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Whisenant Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700059060 PECOS PAC ID: 2860542073 Enrollment ID: I20090610000135 |
| Provider Name | John Hugh Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003296484 PECOS PAC ID: 0446567127 Enrollment ID: I20150911002034 |
| Provider Name | Jena M Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699122820 PECOS PAC ID: 6901193838 Enrollment ID: I20160921000787 |
| Provider Name | Angela Kay Robertson-turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619421088 PECOS PAC ID: 9739477746 Enrollment ID: I20161006001675 |
| Provider Name | Angela Marie Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891219812 PECOS PAC ID: 0840558391 Enrollment ID: I20171211002215 |
| Provider Name | Karen Walker Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902305055 PECOS PAC ID: 6406118439 Enrollment ID: I20180402002125 |
| Provider Name | Jamie Millicent Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265949747 PECOS PAC ID: 8628331345 Enrollment ID: I20180411001450 |
| Provider Name | Robert Daniel Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124575972 PECOS PAC ID: 6901185255 Enrollment ID: I20180822001848 |
| Provider Name | Emily Huffman Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023504685 PECOS PAC ID: 9638423759 Enrollment ID: I20181108000710 |
| Provider Name | Raven S Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992397541 PECOS PAC ID: 4284039066 Enrollment ID: I20210817001143 |
| Provider Name | Raegan Mcneil Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194324756 PECOS PAC ID: 5698166197 Enrollment ID: I20211216001819 |
| Provider Name | Lauren Winkler Isenhour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477275782 PECOS PAC ID: 1254709579 Enrollment ID: I20221117001922 |
| Provider Name | Michael Joseph Kilby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922728773 PECOS PAC ID: 6709115603 Enrollment ID: I20221123002700 |
| Provider Name | Tracie Rebecca Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336829811 PECOS PAC ID: 4385099654 Enrollment ID: I20231006002672 |
| Provider Name | David Jacob Fair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942993324 PECOS PAC ID: 2264880640 Enrollment ID: I20231122003104 |
| Provider Name | Stephanie Linette Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265214324 PECOS PAC ID: 0547603565 Enrollment ID: I20240207000747 |
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