Provider Demographics
NPI:1083859458
Name:HUGH CHATHAM MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:HUGH CHATHAM MEMORIAL HOSPITAL
Other - Org Name:DIGESTIVE DISEASE CONSULTANTS OF YADKIN VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-527-7216
Mailing Address - Street 1:100 CHATHAM MEDICAL PARK
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-2445
Mailing Address - Country:US
Mailing Address - Phone:336-526-6195
Mailing Address - Fax:336-526-6197
Practice Address - Street 1:100 CHATHAM MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2445
Practice Address - Country:US
Practice Address - Phone:336-526-6195
Practice Address - Fax:336-526-6197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty