CALDWELL MEMORIAL HOSPITAL, INC (NPI# 1114222072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114222072 |
| Entity Type | Organization |
| Organization Name | CALDWELL MEMORIAL HOSPITAL, INC |
| Other Organization Name | CHATHAM RURAL HEALTH CLINIC |
| Practice Address |
6619 Highway 34 Chatham LA 71226-9326 |
| Mailing Address |
Po Box 899 Columbia LA 71418-0899 |
| Practice Telephone | 3182492743 |
| Practice Fax Number | 3186495094 |
| Mailing Telephone | 3186496111 |
| Mailing Fax Number | 3186495094 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | RHONDA W ETHERIDGE (OFFICE MANAGER) |
| Authorized Official Telephone | 3182492743 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALDWELL MEMORIAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chatham Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477839108 | Caldwell Memorial Hospital, Inc | Internal Medicine | 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 | 2011-10-26 |
| 1811516446 | Caldwell Memorial Hospital, Inc | Orthopaedic Surgery | 401 Mulberry St Sw Ste 102, Lenoir, NC 28645-5463 | 2020-04-14 |
| 1346658531 | Caldwell Memorial Hospital, Inc | Surgery | 1031 Morganton Blvd Sw, Suite C, Lenoir, NC 28645-5677 | 2014-07-31 |
| 1356695456 | Caldwell Memorial Hospital, Inc | Family Medicine | 1814 Morganton Blvd Sw, Lenoir, NC 28645-5337 | 2012-10-29 |
| 1174882344 | Caldwell Memorial Hospital, Inc | Family Medicine | 906 College Ave Sw, Suite A, Lenoir, NC 28645-5428 | 2012-05-09 |
| 1033475421 | Caldwell Memorial Hospital, Inc | Family Medicine | 109 Fairway Shopping Ctr, Hudson, NC 28638-2440 | 2012-04-10 |
| 1689881831 | Caldwell Memorial Hospital, Inc | Pediatrics | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 | 2007-05-17 |
| 1811902349 | Caldwell Memorial Hospital, Inc | Family Medicine | 4355 Hickory Blvd, Upper Suite, Granite Falls, NC 28630-1992 | 2006-07-31 |
| 1922013457 | Caldwell Memorial Hospital, Inc | Pediatrics | 906 College Ave Sw, Suite C, Lenoir, NC 28645-5428 | 2006-07-31 |
| 1417962150 | Caldwell Memorial Hospital, Inc | Internal Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALDWELL MEMORIAL HOSPITAL, INCORPORATED | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Street Address |
6619 HIGHWAY 34 |
| City | CHATHAM |
| State | LA |
| Zip Code | 71226-9326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295965564 | Jackson Parish Hospital | Clinic/Center | 804 Chatham Avenue, Chatham, LA 71226 | 2009-07-21 |
| 1760733539 | Wings of Eagles Behavioral Health | Counselor | 201 Pine Bluff Rd, Chatham, LA 71226-7904 | 2012-09-19 |
| 1740449057 | Nancy Jepsen Busby | Nurse Practitioner | 804 Chatham Ave, Chatham, LA 71226-8917 | 2008-06-03 |
| 1972973147 | Aaron Nash | Pharmacist | 174 Ira Wyatt Rd, Chatham, LA 71226-9007 | 2015-10-01 |
| 1144359076 | Eternal Blessings Inc | Preferred Provider Organization | 6603 Highway 34, Chatham, LA 71226-9326 | 2007-03-05 |
| 1316339898 | Eternal Blessings | In Home Supportive Care | 6603 Highway 34, Chatham, LA 71226-9326 | 2015-02-20 |
| 1740690643 | Eternal Blessings | Day Training, Developmentally Disabled Services | 6603 Highway 34, Chatham, LA 71226-9326 | 2014-04-30 |
| 1144590142 | Eternal Blessings Personal Care Services | Day Training, Developmentally Disabled Services | 6603 Highway 34, Chatham, LA 71226-9326 | 2012-01-06 |
| 1003947532 | Eternal Blessings Inc | Preferred Provider Organization | 6603 Highway 34, Chatham, LA 71226-9326 | 2007-03-08 |
| 1184755613 | Eternal Blessings Inc | Preferred Provider Organization | 6603 Highway 34, Chatham, LA 71226-9326 | 2007-03-08 |
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| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295965564 | Jackson Parish Hospital | Clinic/Center | 804 Chatham Avenue, Chatham, LA 71226 | 2009-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.