CALDWELL MEMORIAL HOSPITAL, INC. (NPI# 1417483728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417483728 |
| Entity Type | Organization |
| Organization Name | CALDWELL MEMORIAL HOSPITAL, INC. |
| Other Organization Name | RIVERCREST MEDICAL PARK |
| Practice Address |
160 River Bend Drive Suite A Lenoir NC 28630 |
| Mailing Address |
321 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5720 |
| Practice Telephone | 8287575060 |
| Practice Fax Number | 8287575064 |
| Mailing Telephone | 8287575965 |
| Mailing Fax Number | 8287575104 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | REBECCA T SMITH (VP/COO/CNO) |
| Authorized Official Telephone | 8287575100 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALDWELL MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RiverCrest Medical Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619220035 | Caldwell Memorial Hospital, Inc. | Family Medicine | 201 Industrial Ct, Lenoir, NC 28645-8174 | 2012-10-23 |
| 1396911574 | Caldwell Memorial Hospital, Inc. | Clinic/Center | 3286 Oak St, Wisner, LA 71378 | 2008-05-07 |
| 1144402157 | Caldwell Memorial Hospital, Inc. | Family Medicine | 1766 Connelly Springs Road, Lenoir, NC 28645-7827 | 2007-11-30 |
| 1538783915 | Caldwell Memorial Hospital, Inc. | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2020-06-02 |
| 1245734995 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2018-03-19 |
| 1245757764 | Caldwell Memorial Hospital, Inc. | Podiatrist | 401 Mulberry St Sw Ste 102, Lenoir, NC 28645-5463 | 2017-08-25 |
| 1184174542 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 270 Pine Mountain Rd, Suite 5, Hudson, NC 28638-2605 | 2016-10-10 |
| 1578949079 | Caldwell Memorial Hospital, Inc. | Family Medicine | 8439 Valley Blvd, Blowing Rock, NC 28605-9052 | 2015-08-06 |
| 1922426220 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2014-04-03 |
| 1376983171 | Caldwell Memorial Hospital, Inc. | Surgery | 401 Mulberry St Sw, Suite 202, Lenoir, NC 28645-5463 | 2013-06-26 |
| 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 |
160 RIVER BEND DRIVE SUITE A |
| City | LENOIR |
| State | NC |
| Zip Code | 28630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1477943785 | Sarah Thompson | Pharmacist | 2630 Connelly Springs Road, Granite Falls, NC 28630 | 2015-01-26 |
| 1235577602 | Lesley Macinnes | Pediatrics | 4355 Hickory Blvd., Lower Suite, Granite Falls, NC 28630 | 2013-06-07 |
| 1538426648 | Cynthia Ann Hack | Physical Therapy Assistant | 100 Sunset St., Granite Falls, NC 28630 | 2012-04-13 |
| 1043350804 | Community Pharmacy of Granite Falls, LLC | Pharmacy | 21 Falls Ave, Granite Falls, NC 28630 | 2007-02-08 |
| 1083706816 | David Lee Masters | Pediatrics | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 | 2006-09-29 |
| 1790720829 | Sally Rae Soucy | Advanced Practice Midwife | 4355 Hickory Blvd Ste 1, Granite Falls, NC 28630 | 2006-06-20 |
| 1184603896 | Kirsten Kerr | Legal Medicine | One Trade Street, Granite Falls, NC 28630 | 2006-01-11 |
| 1174177620 | Sondra Nicole Henderson | Speech-Language Pathologist | 4012 Hickory Blvd, Granite Falls, NC 28630 | 2019-08-01 |
| Find all providers in zip 28630 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568531416 | Jesse Wallace | Internal Medicine | 1138 Waterfall Ln, Lenoir, NC 28645-8943 | 2006-11-07 |
| 1922039429 | University Health System, Inc | Internal Medicine | 5779 Creekwood Park Blvd, Suite 220, Lenoir, TN 37772 | 2006-07-05 |
| 1861484255 | Ronald H. Dubow | Internal Medicine | 2651 Morganton Blvd Sw, Lenoir, NC 28645-8183 | 2005-08-22 |
| 1023014339 | David Alan Lowry | Internal Medicine | 321 Mulberry Street, Sw, Lenoir, NC 28645 | 2005-06-22 |
| 1205298338 | Michael Joseph Rewis II | Internal Medicine | 322 Mulberry St Sw Ste A, Lenoir, NC 28645-5703 | 2016-03-28 |
| 1982014478 | Aaron Goodwin | Internal Medicine | 322 Mulberry St Sw Ste A, Lenoir, NC 28645-5703 | 2014-05-06 |
| 1710320122 | Ronald Andrew Noe | Internal Medicine | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2013-04-16 |
| 1871830679 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 322 Mulberry St Sw, Suite G, Lenoir, NC 28645-5702 | 2013-01-14 |
| 1386962918 | Jared Keith | Internal Medicine | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2010-05-06 |
| 1447499397 | George Andrew Metzger | Internal Medicine | 1345 Nc Highway 268, Lenoir, NC 28645-9027 | 2009-02-17 |
| Find all providers in LENOIR | ||||
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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.