CALDWELL MEMORIAL HOSPITAL, INC (NPI# 1417962150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417962150 |
| Entity Type | Organization |
| Organization Name | CALDWELL MEMORIAL HOSPITAL, INC |
| Other Organization Name | SOUTHFORK MEDICAL PARK |
| Practice Address |
1731 Connelly Springs Rd Lenoir NC 28645-7827 |
| Mailing Address |
321 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5720 |
| Practice Telephone | 8287576300 |
| Practice Fax Number | 8287576324 |
| Mailing Telephone | 8287575965 |
| Mailing Fax Number | 8287575104 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | REBECCA THOMPSON 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790118N | 05 |
| Other Name | Type Code |
|---|---|
| Southfork Medical Park | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1031 Morganton Blvd Sw Ste C, Lenoir, NC 286455676 | 8287576488 | 8287576489 |
| 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 |
| 1114222072 | Caldwell Memorial Hospital, Inc | Clinic/Center | 6619 Highway 34, Chatham, LA 71226-9326 | 2011-01-24 |
| 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 |
| 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 |
1731 CONNELLY SPRINGS RD |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578591988 | John D Powell | Family Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-06-28 |
| 1538726047 | Megan Guest | Nurse Practitioner | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2019-05-21 |
| 1013483676 | Katrina Brookshire Bell | Registered Nurse | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2018-10-22 |
| 1144636481 | Bethany Gayle Wray | Nurse Practitioner | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2014-07-08 |
| 1104096965 | April Curtis Jacob | Physician Assistant | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2008-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619220035 | Caldwell Memorial Hospital, Inc. | Family Medicine | 201 Industrial Ct, Lenoir, NC 28645-8174 | 2012-10-23 |
| 1053574707 | Stephanie Shannon Morgan Alm | Family Medicine | 1041 Morganton Blvd Sw Ste 200, Lenoir, NC 28645-5605 | 2008-07-02 |
| 1144402157 | Caldwell Memorial Hospital, Inc. | Family Medicine | 1766 Connelly Springs Road, Lenoir, NC 28645-7827 | 2007-11-30 |
| 1235227257 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 1901 Connelly Springs Road, Lenoir, NC 28645 | 2006-10-11 |
| 1578591988 | John D Powell | Family Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-06-28 |
| 1659314276 | George Alan Gould | Family Medicine | 1901 Connelly Springs Rd., Lenoir, NC 28645 | 2006-06-13 |
| 1881658573 | Joseph Laird Griffin | Family Medicine | 233 Main Street Sw, Lenoir, NC 28645 | 2006-04-12 |
| 1790785798 | David Lee Abernethy | Family Medicine | 308 Mulberry St Sw, Lenoir, NC 28645-5721 | 2005-08-01 |
| 1588050215 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 1766 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2015-04-09 |
| 1619360906 | Richard Lorenzo | Family Medicine | 2651 Morganton Blvd Sw, Lenoir, NC 28645 | 2015-03-10 |
| 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.